Individual
AMANDA PHUONG THAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4360 E BROWN RD STE 111, MESA, AZ 85205-4084
(623) 522-5871
(480) 222-1457
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AZ
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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