Individual
MISS BRIANNE REBECCA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
23143 WOODWARD AVE, FERNDALE, MI 48220-1360
(248) 268-5742
(248) 336-0144
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015852
MI
Other
Enumeration date
02/17/2012
Last updated
11/04/2016
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