Travis Chamberlain

NPI 1003024761 - Occupational Therapist - 225X00000X

NPI Details
NPI 1003024761
Gender Male
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 W CENTER ST
LOGAN UT, 84321-4520, US
Phone (435) 764-7434
Fax
Business Location
184 RIVERWALK CIR
LOGAN UT, 84321-7204, US
Phone (435) 753-0654
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Utah
License Number 367293-4201
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According to our database, Mr. Travis Chamberlain NPI is 1003024761, taxonomy code is 225X00000X and license number is 367293-4201, license state is located at Utah. Travis Chamberlain physically located at 101 W Center St, Logan UT, 84321-4520. NPI Number Travis Chamberlain has the Individual type.

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1003024761 NPI number is provided on an as is basis without warranty of any kind. 1003024761 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Chamberlain are for informational purposes only.