Individual
TAI PATRICK VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
5113 MAUNALANI CIR, HONOLULU, HI 96816-4019
(808) 732-0771
Mailing address
187 YORKTOWN ROAD, WOOLWICH TWP, GLOUCESTER 08085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00978300
NJ
225X00000X
Occupational Therapist
U1-0012249
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q1S123302441001
AMERIHEALTH
NJ
Enumeration date
06/15/2021
Last updated
10/28/2022
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