Organization
DAVIS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LARRY DAVIS MED PT (PHYSICAL THERAPIST)
(903) 729-8616
Entity
Organization
Contact information
Practice address
123B MEDICAL DR, PALESTINE, TX 75801
(903) 729-8616
(903) 729-8618
Mailing address
123B MEDICAL DR, PALESTINE, TX 75801
(903) 729-8616
(903) 729-8618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1014645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0876583
—
TX
05
—
1785149
—
TX
Enumeration date
03/20/2007
Last updated
08/22/2020
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