Individual
TRAVIS EUGENE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
900 UNIVERSITY AVE., RIVERSIDE, CA 92521
(626) 827-3813
Mailing address
780 ELMIRA ST., PASADENA, CA 91104
(626) 755-9680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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