Teresa Travis, PTA

NPI #1003952904 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1003952904
Entity Type: Individual
Name: Teresa Travis, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 29, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 2915 S HAZEL ST
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-5008
Phone: (870) 535-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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