Individual
EMILY CLAIRE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
(866) 806-1080
Mailing address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
(866) 806-1080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA4540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA4540
OTA LICENSE
CA
Enumeration date
10/04/2018
Last updated
10/04/2018
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