Individual
THANH-TRUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 6TH ST S/AIRBASE ROAD, MOUNTAIN HOME, ID 83642
(208) 587-1777
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4261776
ID
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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