Individual
DIEP BICH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
323 FOREST AVE, DAYTON, OH 45405-4599
(937) 224-0793
Mailing address
4970 APPALOOSA TRL, FAIRBORN, OH 45324-9700
(937) 269-9216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0360
OH
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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