Travis, Brook

Travis, Brook is an sole proprietor health care provider with primary practice located at 206 Maryland Ave , Mccomb MS 39648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Travis, Brook can be contacted via phone (601) 250-4815.

Contact Information

Primary practice address
206 Maryland Ave Mccomb MS 39648
Phone: (601) 250-4815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X TA2157 Mississippi

Profile Details

NPI number 1295920635
LBN Legal business name Travis, Brook
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295920635 NPPES
Mississippi Other TA2157 COTA

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