Individual
KHANH NGAN THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 BOONE AVE N, NEW HOPE, MN 55428-3629
(763) 592-3000
Mailing address
13006 YELLOW PINE ST NW, COON RAPIDS, MN 55448-4028
(763) 291-4975
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202815
MN
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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