Individual
MICHAEL NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
28975 OLD TOWN FRONT ST STE 201, TEMECULA, CA 92590-2863
(951) 595-1738
(888) 810-8122
Mailing address
28975 OLD TOWN FRONT ST STE 201, TEMECULA, CA 92590-2863
(951) 595-1738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49604
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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