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NPI Code Detail

MEDICARE: MADISEN NGUYEN OT

MEDICARE: MADISEN NGUYEN OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT24936FL

General Provider Information

NPI Number : 1528821246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISEN NGUYEN OT
Provider Business Mailing Address
First Line : 2921 CHELSEA WOODS DR
Second Line :
City : VALRICO
State : FL
Zip : 33596-5204
Country : US
Telephone Number : 352-232-1246
Fax Number : 813-779-1879
Provider Business Practice Location Address
First Line : 13540 17TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5244
Country : US
Telephone Number : 352-437-5151
Fax Number : 813-212-3870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2024
Last Update Date : 05/09/2024

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Directions to “ MADISEN NGUYEN OT” Practice Location

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