Healthcare Provider Details

I. General information

NPI: 1568683324
Provider Name (Legal Business Name): VU ANDREW TRAN MS-OTR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4208 HONEYSUCKLE LN.
ZIONSVILLE IN
46077-8537
US

IV. Provider business mailing address

4208 HONEYSUCKLE LN.
ZIONSVILLE IN
46077-8537
US

V. Phone/Fax

Practice location:
  • Phone: 317-615-9795
  • Fax:
Mailing address:
  • Phone: 317-615-9795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31003503A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: