Individual
MICHELLE DIEU TRAM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 TAMAL PLZ STE 505, CORTE MADERA, CA 94925-1184
(415) 531-3027
Mailing address
500 TAMAL PLZ STE 505, CORTE MADERA, CA 94925-1184
(415) 531-3027
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23017
CA
Other
Enumeration date
05/20/2022
Last updated
07/07/2022
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