Individual
DAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
935 LAKE DR, JOHNSON CITY, TN 37601-2138
(408) 609-0412
Mailing address
935 LAKE DR, JOHNSON CITY, TN 37601-2138
(408) 609-0412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298785
CA
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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