Individual
TERRY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 277-5006
Mailing address
310 S 120TH AVE, AVONDALE, AZ 85323-5735
(623) 302-2178
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7466
AZ
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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