Individual
ELAINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7921 PROFESSIONAL CIR, HUNTINGTON BEACH, CA 92648-1901
(714) 847-8751
(714) 847-8913
Mailing address
14182 LAKE ST, GARDEN GROVE, CA 92843-4809
(714) 579-5854
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21063
CA
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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