Individual
BRADLEY T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 THOMAS JOHNSON DR STE G, FREDERICK, MD 21702-4673
(240) 380-9396
Mailing address
163 THOMAS JOHNSON DR STE G, FREDERICK, MD 21702-4673
(240) 380-9396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
MDA5405
MD
Other
Enumeration date
10/26/2018
Last updated
10/29/2024
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