Individual
TRAVIS JAMES NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL CLT
Contact information
Practice address
1897 ALTURAS DR, TWIN FALLS, ID 83301-4906
(208) 539-2784
Mailing address
1897 ALTURAS DR, TWIN FALLS, ID 83301-4906
(208) 539-2784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT618
ID
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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