Individual
NIKKI TANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 E WALNUT ST, PASADENA, CA 91106-1720
(626) 348-7187
Mailing address
913 E WALNUT ST, PASADENA, CA 91106-1720
(626) 348-7187
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
21936
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2020
Last updated
05/19/2023
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