Provider Demographics
NPI:1659120780
Name:NGUYEN, ANH CYNTHIA (OTD)
Entity type:Individual
Prefix:
First Name:ANH
Middle Name:CYNTHIA
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 WHEELER BND
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4173
Mailing Address - Country:US
Mailing Address - Phone:214-924-9150
Mailing Address - Fax:
Practice Address - Street 1:4045 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5891
Practice Address - Country:US
Practice Address - Phone:972-519-0480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
124742225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist