Provider Demographics
NPI:1710109053
Name:CHUA, KAREN CHAN (PT)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:CHAN
Last Name:CHUA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 OAK LN
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3473
Mailing Address - Country:US
Mailing Address - Phone:732-939-2276
Mailing Address - Fax:
Practice Address - Street 1:3002 ESSEX RD
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07753-7758
Practice Address - Country:US
Practice Address - Phone:732-643-2000
Practice Address - Fax:732-643-2056
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01033700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist