TRAVIS OWEN CHARTER

FREMONT, NE
NPI1730467150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  384)
Enumeration Date2011-08-02
Last Update Date2011-08-02
Business Address
TRAVIS OWEN CHARTER PTA
410 S NYE AVE
FREMONT, NE 68025-5548
Phone number: 402-616-7582
Mailing Address
TRAVIS OWEN CHARTER PTA
410 S NYE AVE
FREMONT, NE 68025-5548
Phone number: 402-616-7582
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