Individual
MARVIN DEWAN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. ED ESE
Contact information
Practice address
43825 MICHIGAN AVE STE 2, CANTON, MI 48188-2551
(734) 713-0080
Mailing address
43825 MICHIGAN AVE STE 2, CANTON, MI 48188-2551
(734) 713-0080
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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