Individual
TRAVIS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E 4TH ST, CHARLOTTE, NC 28204-3310
(704) 332-5143
(704) 332-6128
Mailing address
PO BOX 7263, CHARLOTTE, NC 28241-7263
(704) 332-5143
(704) 332-6128
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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