Individual
KENNY TRAN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2521 LONGVIEW AVE SW APT 1, ROANOKE, VA 24014-1532
(540) 353-4700
Mailing address
6005 FARMHOUSE CT, ROANOKE, VA 24019-7457
(540) 353-4700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131002765
VA
224Z00000X
Occupational Therapy Assistant
Primary
7298
CA
Other
Enumeration date
02/28/2024
Last updated
12/30/2025
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