Individual
CHARLIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3737 N GARLAND AVE, GARLAND, TX 75040-8502
(972) 495-7000
Mailing address
2130 WINDY RIDGE LN, GARLAND, TX 75044-7850
(714) 422-8005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213616
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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