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Individual

SALLY QUACH NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
489 LOS COCHES ST, MILPITAS, CA 95035-5422
(408) 941-2159
Mailing address
1027 EAGLE AVE, ALAMEDA, CA 94501-1110

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13915
CA

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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