Individual
CARLENE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9219 RAINBOW CREEK WAY, ELK GROVE, CA 95624-4814
(916) 289-0659
Mailing address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
(888) 204-5762
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
2022252916891
CA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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