IndividualActive
Brook Travis
NPI 1295920635 · Occupational Therapy Assistant · Mccomb, MS
Provider details
- NPI number
- 1295920635
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA2157 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
206 Maryland Ave
Mccomb, MS 39648
Phone: (601) 250-4815
Approximate (ZIP-level) locationGet directions
Mailing address
570 S Deerfield Dr
Canton, MS 39046
Registry dates
- Enumerated
- 2007-09-10
- Last updated
- 2007-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.