Individual
DANIEL TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4725 BATTLEFIELD PKWY, RINGGOLD, GA 30736
(423) 624-2696
Mailing address
207 MYTHICAL LN, RINGGOLD, GA 30736-5892
(423) 802-4159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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