Individual
KIMBERLY THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 PHOENETIA DR, ST AUGUSTINE, FL 32086-7312
(904) 613-7795
Mailing address
221 PHOENETIA DR, ST AUGUSTINE, FL 32086-7312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24157
FL
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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