Individual
JESSICA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, MOT
Contact information
Practice address
3355 MAIN ST, KANSAS CITY, MO 64111-1904
(816) 399-0806
(816) 743-7413
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1703359
KS
225X00000X
Occupational Therapist
19510
CA
225X00000X
Occupational Therapist
Primary
2019010033
MO
Other
Enumeration date
08/21/2018
Last updated
11/08/2019
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