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Individual
ROSABELLE LOAN NGUYEN
Active
Individual
ROSABELLE LOAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9205
CA
225XH1200X
Hand Occupational Therapist
OT9205
CA
225XP0200X
Pediatric Occupational Therapist
OT9205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0092050
BLUE SHIELD PIN
CA
Enumeration date
02/22/2007
Last updated
10/16/2012
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