Individual
NICCOLO NGUJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 E COPELAND RD, ARLINGTON, TX 76011-4910
(210) 582-5840
Mailing address
1112 E COPELAND RD, ARLINGTON, TX 76011-4910
(210) 582-5840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215904
TX
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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