Individual
MOINUDDIN KHAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10923 TAY GROVE PL, RICHMOND, TX 77407-1718
(773) 469-9102
Mailing address
10923 TAY GROVE PL, RICHMOND, TX 77407-1718
(773) 469-9102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160.004701
IL
225200000X
Physical Therapy Assistant
Primary
2078130
TX
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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