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Individual
MR. TUAN ANH NICK NGUYEN
Active
Individual
MR. TUAN ANH NICK NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38204
CA
2251S0007X
Sports Physical Therapist
PT38204
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT244540
BLUE SHIELD PIN
CA
01
—
PT24454
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
05
—
WPT24454A
—
CA
Enumeration date
10/20/2011
Last updated
10/20/2011
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