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Individual

KEN TRUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, OTR/L

Contact information

Practice address
444 N NORTHWEST HWY STE 147, PARK RIDGE, IL 60068-3263
(847) 707-6744
(847) 786-2156
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014214
IL

Other

Enumeration date
07/23/2021
Last updated
07/23/2021
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