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Individual

THU LENGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
700 RANDOLPH ST., RADFORD, VA 24141
(540) 633-6533
Mailing address
14612 STROUBLES CREEK RD., BLACKSBURG, VA 24060
(540) 354-1005

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001027
VA

Other

Enumeration date
06/08/2012
Last updated
11/10/2012
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