TRAVIS JACK LEE PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1932627924- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1939 SW TROON AVE, BEND, OR, 977023143
- Phone
- (503) 468-8592
- Fax
- (888) 394-2351
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #09474