Individual
JIMMY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
215 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2913
(714) 999-6596
Mailing address
14951 HOPE ST, WESTMINSTER, CA 92683-5835
(714) 396-0816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49308
CA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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