Provider Demographics
NPI:1831850262
Name:NGUYEN, TRAM (PTA, DPT)
Entity type:Individual
Prefix:
First Name:TRAM
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PTA, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8523 FRERET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-1159
Mailing Address - Country:US
Mailing Address - Phone:985-226-3397
Mailing Address - Fax:
Practice Address - Street 1:1610 BELLE CHASSE HWY
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-7056
Practice Address - Country:US
Practice Address - Phone:504-362-1000
Practice Address - Fax:504-584-7747
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0730781225100000X
LA11124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist