IndividualActive
Bo Nguyen
NPI 1265747422 · Rehabilitation Practitioner · Gonzales, LA
Provider details
- NPI number
- 1265747422
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 04216 (LA)
Mailing address
212 N Burnside Ave
Gonzales, LA 70737-2824
Registry dates
- Enumerated
- 2010-08-12
- Last updated
- 2010-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.