Individual
KIRA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 MONTEREY RD, BALTIMORE, MD 21218-2142
(410) 353-6590
Mailing address
3711 MONTEREY RD, BALTIMORE, MD 21218-2142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
81310822
VA
Other
Enumeration date
04/02/2019
Last updated
06/25/2021
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