Healthcare Provider Details

I. General information

NPI: 1528963857
Provider Name (Legal Business Name): DANTHANH TRINH L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 FELT RD STE 501
SOUTH WINDSOR CT
06074-3871
US

IV. Provider business mailing address

85 FELT RD STE 501
SOUTH WINDSOR CT
06074-3871
US

V. Phone/Fax

Practice location:
  • Phone: 860-633-6022
  • Fax:
Mailing address:
  • Phone: 860-633-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number923
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: