Provider Demographics
NPI:1255749941
Name:TRUONG, HOA (ATC)
Entity type:Individual
Prefix:MR
First Name:HOA
Middle Name:
Last Name:TRUONG
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 GLENBAR DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-1240
Mailing Address - Country:US
Mailing Address - Phone:440-668-1166
Mailing Address - Fax:
Practice Address - Street 1:3300 GLENBAR DR
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-1240
Practice Address - Country:US
Practice Address - Phone:440-668-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-26
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program