Individual
CAROLYN A TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12607 SE MILL PLAIN BLVD, MODULE F, VANCOUVER, WA 98684-6055
(360) 944-2813
Mailing address
1115 NE KEYES RD APT D1, VANCOUVER, WA 98684-7360
(360) 944-6869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7467
OR
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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