Individual
MAITRAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4845 MAIN ST STE C, ZACHARY, LA 70791-3943
(225) 286-0181
Mailing address
4324 S SHERWOOD FOREST BLVD STE B170, BATON ROUGE, LA 70816-4481
(225) 654-8208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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