Individual
MR. TRAVIS CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W CENTER ST, LOGAN, UT 84321-4520
(435) 764-7434
Mailing address
184 RIVERWALK CIR, LOGAN, UT 84321-7204
(435) 753-0654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
367293-4201
UT
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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