Individual
AMY TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 S MAIN ST, JACKSONVILLE, TX 75766-4918
(903) 541-5520
Mailing address
414 S MAIN ST, JACKSONVILLE, TX 75766-4918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106108
TX
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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