Individual
JASMIN RENEE' TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1319 JILL TER, HOMEWOOD, IL 60430-4045
(708) 359-8444
Mailing address
1319 JILL TER, HOMEWOOD, IL 60430-4045
(708) 359-8444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009160
IL
Other
Enumeration date
10/14/2010
Last updated
01/24/2020
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