NPI 1295920635
Brook Travis
Practice location
- Address
- 206 Maryland Ave, McComb, MS 39648
- Phone
- (601) 250-4815
- Mailing address
- 570 S Deerfield Dr, Canton, MS 39046
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1295920635
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Sep 2007
- Record last updated
- 10 Sep 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.