Individual
AIMEE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6849 EARHART AVE, FONTANA, CA 92336-4257
(909) 556-1051
Mailing address
6849 EARHART AVE, FONTANA, CA 92336-4257
(909) 556-1051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2932
CA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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