Provider Demographics
NPI:1588544803
Name:NGUYEN, BRYAN (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2825
Mailing Address - Country:US
Mailing Address - Phone:504-842-4349
Mailing Address - Fax:504-842-4393
Practice Address - Street 1:850 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2825
Practice Address - Country:US
Practice Address - Phone:504-842-4349
Practice Address - Fax:504-842-4393
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116342251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic