Individual
ABIGAIL MARIE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
619 6TH ST W, PARK RAPIDS, MN 56470-1301
(218) 732-3329
Mailing address
16338 BIRCHWOOD LN, BRAINERD, MN 56401-6184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2275
MN
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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