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Individual

ANDY QUOC TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18102 IRVINE BLVD, SUITE 207, TUSTIN, CA 92780-3402
(714) 505-2966
(714) 505-2976
Mailing address
18102 IRVINE BLVD, TUSTIN, CA 92780-3402
(714) 505-2966
(714) 505-2976

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38984
CA

Other

Enumeration date
06/01/2012
Last updated
06/01/2012
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