Individual
VIDA DIONNE CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
984 MORRIS PARK AVE, 1ST FLOOR, BRONX, NY 10462-3714
(718) 823-7676
Mailing address
984 MORRIS PARK AVE, 1ST FLOOR, BRONX, NY 10462-3714
(718) 823-7676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8386-I
NY
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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