Individual
JANELLE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 266-5557
(505) 266-5545
Mailing address
1733 SHIRLEY ST NE, ALBUQUERQUE, NM 87112-4444
(505) 615-5220
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3614
NM
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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