Provider Demographics
NPI:1366683005
Name:TRAN, NAM ELISE HOAI (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:NAM ELISE
Middle Name:HOAI
Last Name:TRAN
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 1:862 SUMMER DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-3095
Mailing Address - Country:US
Mailing Address - Phone:303-249-8185
Mailing Address - Fax:
Practice Address - Street 1:862 SUMMER DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-3095
Practice Address - Country:US
Practice Address - Phone:303-249-8185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002583225X00000X
CT002134225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist