Most Relevant Information
Provider Data
| NPI Number: | 1003024761 |
| Provider Name: | TRAVIS CHAMBERLAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 367293-4201 |
Most Important Dates
| Enumeration Date: | 05/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
101 W CENTER ST
LOGAN
UT
843214520
Practice Location Phone/Fax
| Phone: | 4357647434 |
| Fax: |
Provider Mailing Location
184 RIVERWALK CIR
LOGAN
UT
843217204
Provider Mailing Phone/Fax
| Phone: | 4357530654 |
| Fax: |