Individual
JUSTIN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4010 MOORPARK AVE STE 112, SAN JOSE, CA 95117-1803
(408) 441-0522
Mailing address
1055 N CAPITOL AVE APT 109, SAN JOSE, CA 95133-2721
(510) 605-6796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52162
CA
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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