BROOK TRAVIS

MCCOMB, MS
NPI1295920635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2157)
Enumeration Date2007-09-10
Last Update Date2007-09-10
Business Address
-- BROOK TRAVIS
206 MARYLAND AVE
MCCOMB, MS 39648
Phone number: 601-250-4815
Mailing Address
-- BROOK TRAVIS
570 S DEERFIELD DR
CANTON, MS 39046
Phone number:
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