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1912283607
TRAVIS LOWELL
PORT ORANGE, FL
NPI
1912283607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
-- TRAVIS LOWELL
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
-- TRAVIS LOWELL
22 SESAME ST
SKOWHEGAN, ME 04976-1120
Phone number:
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