Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2142 | CA |
N | 225XF0002X | Feeding, Eating & Swallowing | 2142 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 2142 | CA |
NPI | 1013306695 |
---|---|
Provider Name | Mr. Henry Hoanh Tran |
First Address | Yorba Linda, CA 92886-3104 |
Second Address | Yorba Linda, CA 92886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2015 |
Last Update Date | 20/01/2015 |