Individual
CHRISTOPHER MICHAEL TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1000 EDEN DR, LONGVIEW, TX 75605-3139
(903) 353-1101
Mailing address
1000 EDEN DR, LONGVIEW, TX 75605-3139
(903) 353-1101
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
110520
TX
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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