Individual
MICHELLE PHUONG-UYEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1541 OLD BAYSHORE HWY, BURLINGAME, CA 94010-1602
(650) 638-9142
Mailing address
3229 ADELANTO LN, SAN JOSE, CA 95135-1059
(408) 219-8804
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
297715
CA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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