Individual
JENNIFER TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
163 ROBINS CTR, RICHMOND, VA 23173-0001
(804) 287-6841
Mailing address
2338 PATHFINDER CIR, RICHMOND, VA 23294-3534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
01260000839
VA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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