Provider Demographics
NPI:1568683324
Name:TRAN, VU ANDREW (MS-OTR)
Entity Type:Individual
Prefix:MR
First Name:VU
Middle Name:ANDREW
Last Name:TRAN
Suffix:
Gender:M
Credentials:MS-OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 HONEYSUCKLE LN.
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8537
Mailing Address - Country:US
Mailing Address - Phone:317-615-9795
Mailing Address - Fax:
Practice Address - Street 1:4208 HONEYSUCKLE LN.
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8537
Practice Address - Country:US
Practice Address - Phone:317-615-9795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003503A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist