Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARVIN DEWAN TRAVIS, B.S. ED ESE
ActiveMARVIN DEWAN TRAVIS, B.S. ED ESE is a Mental Health Occupational Therapist healthcare provider located in CANTON, Michigan. NPI 1467042903 is currently active in the NPPES registry. Verify at CMS.
Mental Health Occupational Therapist · CANTON, MI
Registration Details
- NPI Number
- 1467042903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2021 (5.6097679852054 yrs)
- Last Updated
- Jan 19, 2021
Practice Information
- Address
-
43825 MICHIGAN AVE STE 2CANTON, MI, 481882551Browse MI providers · Browse ZIP 48188
- Phone
- 7347130080
- Primary Specialty
-
Mental Health Occupational Therapist
225XM0800X
Other Mental Health Occupational Therapist Providers in CANTON, MI
| Name | Credential | NPI |
|---|---|---|
| MS. KEISHA LATIA GRUNDY | — | 1730843368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.