TERRAN TRAVIS

NEW HAVEN, CT
NPI1225747504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  13785)
Enumeration Date2022-11-16
Last Update Date2022-11-16
Business Address
TERRAN TRAVIS DPT
55 LOCK ST
NEW HAVEN, CT 06511-3603
Phone number: 203-436-5583
Mailing Address
TERRAN TRAVIS DPT
47 N MAIN ST
WEST HARTFORD, CT 06107-1926
Phone number: 860-409-4595