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Individual

MR. TRAVIS LUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2333 CHAPEL HILL RD, COLUMBIA, MO 65203-1568
(573) 304-5866
Mailing address
2333 CHAPEL HILL RD, COLUMBIA, MO 65203-1568

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018039668
MO

Other

Enumeration date
01/21/2020
Last updated
01/21/2020
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