Individual
MRS. JENNIFER C TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(702) 360-1137
(702) 341-1511
Mailing address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(702) 360-1137
(702) 341-1511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887439500
—
FL
01
—
Y902F
BCBS
FL
Enumeration date
01/27/2006
Last updated
04/24/2014
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