Individual
LARRY LUAN THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1807 SEVILLE WAY, SAN JOSE, CA 95131-2760
(408) 802-8015
Mailing address
1807 SEVILLE WAY, SAN JOSE, CA 95131-2760
(408) 802-8015
(866) 789-6778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3410
CA
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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