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Individual

JEREMY RYAN TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1450 SHAIRE CENTER DR, LENOIR, NC 28645-7565
(828) 728-6500
Mailing address
2845 WILL CLARKE PL, MORGANTON, NC 28655-8571
(828) 448-8292

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6715
NC

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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