Individual
VINCENT NGUYENPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4700 42ND AVE SW STE 510, SEATTLE, WA 98116-4583
(206) 933-1030
Mailing address
3801 S HOLLY PARK DR, SEATTLE, WA 98118-3758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160339911
WA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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