Individual provider · Type 1 NPI

Jamal Tyrone Ledet-Travis

Rehabilitation Practitioner · San Diego, CA

NPI number 1194288118 Active

Practice location

1011 Camino Del Rio S
San Diego, CA 92108-3531

Call (619) 287-8225 Map

Mailing address

4746 Guymon St Rear
San Diego, CA 92102-3730

Other practice locations

  • 10201 Mission Gorge Rd, Santee, CA 92071-3027 · (619) 383-6868

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1194288118

Jamal Tyrone Ledet-Travis's National Provider Identifier is 1194288118, issued on Apr 8, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Mar 27, 2025.