Provider Demographics
NPI:1225770159
Name:LE, TRANG HUYEN (OTR/L)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:HUYEN
Last Name:LE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 COLONY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-8372
Mailing Address - Country:US
Mailing Address - Phone:305-778-3150
Mailing Address - Fax:
Practice Address - Street 1:702 S KINGS AVE UNIT 463
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5959
Practice Address - Country:US
Practice Address - Phone:813-651-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT22829225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist