Individual
KIM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21615 HAWTHORNE BLVD, SUITE 200, TORRANCE, CA 90503-6668
(310) 371-8555
(310) 371-4488
Mailing address
21615 HAWTHORNE BLVD, SUITE 200, TORRANCE, CA 90503-6668
(310) 371-8555
(310) 371-4488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14917
CA
225XP0200X
Pediatric Occupational Therapist
Primary
14917
CA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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