Individual
SANG PHU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1605 STUBBS AVE, MONROE, LA 71201-5629
(318) 388-8414
(318) 388-8558
Mailing address
1605 STUBBS AVE, MONROE, LA 71201-5629
(318) 388-8414
(318) 388-8558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
335876
LA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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