Basic Information
| Provider Information | |||||||||
| NPI: | 1467030056 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NGUYEN-PERKINS | ||||||||
| FirstName: | HUONG GIANG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | MS, OTR/L | ||||||||
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| OtherLastName: | NGUYEN-PERKINS | ||||||||
| OtherFirstName: | GIANG | ||||||||
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| OtherCredential: | MS, OTR/L | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 10407 US HIGHWAY 31 APT 731 | ||||||||
| Address2: | |||||||||
| City: | SPANISH FORT | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365277615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8503757371 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 300 FAULKNER DR | ||||||||
| Address2: | |||||||||
| City: | BAY MINETTE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365072771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2519379881 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2021 | ||||||||
| LastUpdateDate: | 04/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5577 | AL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.