Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 36943 | CA |
NPI | 1790293512 |
---|---|
Provider Name | Dr. Rachel Tran |
First Address | Claremont, CA 91711-1537 |
Second Address | Claremont, CA 91711-1537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2018 |
Last Update Date | 15/01/2018 |