Individual
MR. PHUONG DINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4606 FARM TO MARKET 1960 RD, HOUSTON, TX 77069-7701
(346) 333-2794
Mailing address
2306 HYLAND PARK, HOUSTON, TX 77014-2866
(832) 212-3759
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
216626
TX
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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