Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marvin Dewan Travis, BSEDESE

Individual provider Mental Health Occupational Therapist · NPI 1467042903

Marvin Dewan Travis, BSEDESE is a Mental Health Occupational Therapist in Canton, Michigan. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

43825 Michigan Ave Ste 2
Canton, MI 48188-2551
Phone: (734) 713-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Occupational Therapist (primary) Taxonomy 225XM0800X

Record details

NPI number1467042903
Entity typeIndividual (Type 1)
GenderMale
Credentials BSEDESE
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

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