MEDICARE: THU HANG NGUYEN

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	225X00000X	Occupational Therapist	27001	FL

General Provider Information

NPI Number	:	1750145710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THU HANG NGUYEN

Provider Business Mailing Address
First Line	:	4863 ADDERTON AVE
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8108
Country	:	US
Telephone Number	:	772-812-0983
Fax Number	:

Provider Business Practice Location Address
First Line	:	4863 ADDERTON AVE
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8108
Country	:	US
Telephone Number	:	772-812-0983
Fax Number	:

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

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	04/11/2026

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Directions to “ THU HANG NGUYEN ” Practice Location

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