MEDICARE: BINH NGUYEN PT, DPT

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
1	225100000X	Physical Therapist	4162	NV

General Provider Information

NPI Number	:	1578100756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINH NGUYEN PT, DPT

Provider Business Mailing Address
First Line	:	6180 E OWENS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-1803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6180 E OWENS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-1803
Country	:	US
Telephone Number	:	949-310-2070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2019
Last Update Date	:	12/05/2019

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Directions to “ BINH NGUYEN PT, DPT” Practice Location

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