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Individual

TRAVIS GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1075 W STATE ST APT G202, REDLANDS, CA 92373-8141
(805) 340-7859
Mailing address
700 E HIGHLAND AVE, REDLANDS, CA 92374-6233

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49842
CA

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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