Individual
MS. MARIANA S TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1700 S FANT ST, ANDERSON, SC 29624-3321
(864) 260-5225
(864) 964-2692
Mailing address
104 DILLARD HILL DR, SENECA, SC 29678-4912
(864) 280-5890
(864) 964-2692
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
04986
SC
2251P0200X
Pediatric Physical Therapist
0746
GA
2251P0200X
Pediatric Physical Therapist
1204179
TX
Other
Enumeration date
07/24/2007
Last updated
02/15/2013
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