Individual
MR. TRAVIS ALEXANDER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
7015 N CHESTNUT AVE STE 103, FRESNO, CA 93720-0349
(559) 298-0321
Mailing address
1247 E ALLUVIAL AVE STE 103, FRESNO, CA 93720-2686
(559) 298-0321
(559) 298-7164
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO04430
—
224P00000X
Prosthetist
CPO04430
—
Other
Enumeration date
12/07/2018
Last updated
02/24/2020
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