Individual
MR. TRAVIS WATSON PREVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
149 FAIRHAVEN DR, BOSTIC, NC 28018-8759
(828) 245-9095
Mailing address
149 FAIRHAVEN DR, BOSTIC, NC 28018-8759
(828) 245-9095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4384
NC
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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