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1225747504
TERRAN TRAVIS
NEW HAVEN, CT
NPI
1225747504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 13785)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
TERRAN TRAVIS DPT
55 LOCK ST
NEW HAVEN, CT 06511-3603
Phone number: 203-436-5583
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Mailing Address
TERRAN TRAVIS DPT
47 N MAIN ST
WEST HARTFORD, CT 06107-1926
Phone number: 860-409-4595
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