Individual
CAROLYN TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
211 SAXONY RD, ENCINITAS, CA 92024-2791
(760) 632-0081
Mailing address
1636 TENNIS MATCH WAY, ENCINITAS, CA 92024-2945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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