Individual
MICHAELLA R TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3509 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-4421
(757) 261-4475
Mailing address
3509 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-4421
(757) 261-4475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009975
VA
225XP0200X
Pediatric Occupational Therapist
476482
OR
Other
Enumeration date
07/26/2022
Last updated
04/16/2025
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