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Individual
PRANULIN PHROMMAVANH
Active
Individual
PRANULIN PHROMMAVANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6289
CT
Other
Enumeration date
10/10/2024
Last updated
06/23/2026
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