Individual
MRS. STEPHANIE FLAKE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
32780 HEMINGWAY AVE, DENHAM SPRINGS, LA 70706-2012
(225) 939-9466
Mailing address
32780 HEMINGWAY AVE, DENHAM SPRINGS, LA 70706-2012
(225) 939-9466
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
Z12196
LA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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