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1083133102
TRAVIS LIGHT
SALISBURY, MD
NPI
1083133102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 26618)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
TRAVIS LIGHT PT
1409 S SALISBURY BLVD # CD
SALISBURY, MD 21801-7151
Phone number: 667-330-1061
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Mailing Address
TRAVIS LIGHT PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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