Individual
KHUONG DOAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 N 300 W, PROVO, UT 84604-6124
(713) 825-3445
Mailing address
255 S UNIVERSITY AVE APT 107, PROVO, UT 84601-4400
(713) 825-3445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1381519
TX
Other
Enumeration date
09/19/2023
Last updated
10/30/2023
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