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Individual

BARRY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
6180 BROCKTON AVE, 101, RIVERSIDE, CA 92506-2228
(951) 781-6653
(951) 781-2785
Mailing address
PO BOX 661, COLTON, CA 92324-0661

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2555
CA

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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