Provider Demographics
NPI:1477088334
Name:CHEN, YINJU RUE (PT, DPT, PCS)
Entity type:Individual
Prefix:MISS
First Name:YINJU
Middle Name:RUE
Last Name:CHEN
Suffix:
Gender:
Credentials:PT, DPT, PCS
Other - Prefix:
Other - First Name:YIN-JU
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPC
Mailing Address - Street 1:1251 E DYER RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5662
Mailing Address - Country:US
Mailing Address - Phone:949-333-6400
Mailing Address - Fax:
Practice Address - Street 1:1251 E DYER RD STE 150
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5662
Practice Address - Country:US
Practice Address - Phone:949-333-6400
Practice Address - Fax:949-333-6440
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040767225100000X
CA298315225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist