Individual
NICOLE UYEN NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 923-1527
(714) 639-2282
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14773
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2012
Last updated
03/11/2015
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