Organization
TRACY TRAN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TRAN DPT (PHYSICAL THERAPIST)
(949) 419-4776
Entity
Organization
Contact information
Practice address
5166 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1115
(949) 419-4776
Mailing address
5166 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1115
(949) 419-4776
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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