Individual
MAILY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 654-7488
Mailing address
118 HOMEWOOD AVE, NORTH HAVEN, CT 06473-2925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6731
CT
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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