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Individual

MR. TIEN TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P., L.O., FAAOP

Contact information

Practice address
748 WALNUT KNOLL LN, CORDOVA, TN 38018-3110
(901) 737-5738
(901) 737-5692
Mailing address
748 WALNUT KNOLL LN, CORDOVA, TN 38018-3110
(901) 737-5738
(901) 737-5692

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000180
TN
224P00000X
Prosthetist
Primary
PRO0000000084
TN

Other

Enumeration date
04/26/2007
Last updated
05/06/2009
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