Individual
DUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21630 N 19TH AVE, PHOENIX, AZ 85027-2719
(602) 975-8655
Mailing address
2362 W SIERRA VISTA DR, PHOENIX, AZ 85015-1202
(407) 462-2153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008753
AZ
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/16/2022
Last updated
04/10/2022
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