Individual
BAO-QUYEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
260 1ST AVE S STE 200-161, ST PETERSBURG, FL 33701-4361
(727) 803-1102
Mailing address
5020 RIBBON GRASS TRL UNIT 303, BRADENTON, FL 34208-2760
(321) 298-0841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36277
FL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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