Individual
TIFFANIE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 ALPS RD, BRANFORD, CT 06405-4771
(203) 315-2615
Mailing address
189 ALPS RD, BRANFORD, CT 06405-4771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002119
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002119
CT PTA LICENSE
—
Enumeration date
08/28/2020
Last updated
08/28/2020
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