Individual
LOC VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
Mailing address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08887
MD
Other
Enumeration date
04/29/2020
Last updated
06/10/2022
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