Individual
CHAU-TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2600 N WYATT DR, TUCSON, AZ 85712-6106
(520) 324-3600
(520) 324-3129
Mailing address
2600 N WYATT DR, TUCSON, AZ 85712-6106
(520) 324-3600
(520) 324-3129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3552
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3552
LICENSE
AZ
Enumeration date
04/17/2007
Last updated
07/08/2007
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