Individual
MRS. JESSICA MOE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(704) 553-1670
Mailing address
6817 THORNTON OAKS CT, CHARLOTTE, NC 28270-1553
(919) 740-6753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5137
NC
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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