Individual
HALEY GRACE TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008218
GA
Other
Enumeration date
02/14/2022
Last updated
12/05/2024
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