Individual
SAMANTHA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
255 W BROWN RD, MESA, AZ 85201-3404
(480) 833-3988
Mailing address
2032 S EMERSON, MESA, AZ 85210-6708
(757) 439-0703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10571A
AZ
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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