Brook Travis in Mccomb - Occupational Therapy Assistant
Brook Travis - NPI 1295920635
Brook Travis is a Occupational Therapy Assistant in Mccomb, Mississippi. Brook Travis practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Brook Travis is 1295920635. The last update date is 2007-09-10.
Brook Travis's current location address is 206 Maryland Ave, Mccomb, Mississippi. You can contact this provider via phone number 6012504815. The mailing address for Brook Travis is 206 Maryland Ave, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brook Travis |
|---|---|
| Address | 206 Maryland Ave, Mccomb, Mississippi |
| Phone Number | 6012504815 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295920635 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 206 Maryland Ave |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 39648 |
| Phone Number | 6012504815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | TA2157 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TA2157 | MS | COTA |
Post Comment/ Review Below
What is the unique identifier code issued to Brook Travis by the Centers for Medicare & Medicaid Services (CMS)?
The Brook Travis has been assigned the NPI (National Provider Identifier) 1295920635. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Brook Travis's facilities are geographically located?
The facilities of Brook Travis are physically situated at the following location: 206 Maryland Ave, Mccomb, MS, 39648.
What is Brook Travis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brook Travis is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295920635 to Brook Travis?
The Centers for Medicare & Medicaid Services originally issued the 1295920635 to Brook Travis on 2007-09-10.
As of what date were the details pertaining to Brook Travis last refreshed?
The information related to the Brook Travis, including its address, specialty, and other relevant details, was last updated on 2007-09-10.