Individual ProviderLuc NguyenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1081 S Winchester Blvd, San Jose, CA 95128(408) 753-9988PECOS EnrollmentBased on the most recent information from CMS, provider Luc Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1821147257Provider TypeIndividualFull NameNguyen, LucCredentialPTGenderMaleSole ProprietorNoEnumeration Date1/8/2007Last Updated10/10/2016Contact InformationPractice LocationPractice Address1081 S Winchester Blvd, San Jose, CA 95128Phone(408) 753-9988Fax(408) 899-2656Mailing LocationMailing Address1081 S Winchester Blvd, San Jose, CA 95128Phone(408) 753-9988Fax(408) 899-2656Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT33379California