Individual
KEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
111 WILLARD ST, SUITE 2A, QUINCY, MA 02169-1200
(617) 471-4491
Mailing address
111 WILLARD ST, SUITE 2A, QUINCY, MA 02169-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22417
MA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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