Provider Demographics
NPI:1659539823
Name:TRAN, YEN MY
Entity Type:Individual
Prefix:MISS
First Name:YEN
Middle Name:MY
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SAINT FRANCIS PL
Mailing Address - Street 2:APT. 1105
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1330
Mailing Address - Country:US
Mailing Address - Phone:415-516-3616
Mailing Address - Fax:
Practice Address - Street 1:1 SAINT FRANCIS PL
Practice Address - Street 2:APT. 1105
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1330
Practice Address - Country:US
Practice Address - Phone:415-516-3616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013702L225100000X
CAPT27830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist