IndividualActive
Carlene Travis
NPI 1104537406 · Driving and Community Mobility Occupational Therapy Assistant · Elk Grove, CA
Provider details
- NPI number
- 1104537406
- Entity type
- Individual
- Primary specialty
- Driving and Community Mobility Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2022252916891 (CA)
Practice location
9219 Rainbow Creek Way
Elk Grove, CA 95624-4814
Phone: (916) 289-0659
Mailing address
3400 Cottage Way Ste G2
Sacramento, CA 95825-1474
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.