Individual
COLTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1241 PT MALLARD PKWY STE 201, DECATUR, AL 35601-6555
(256) 350-9750
Mailing address
204 COUNTY ROAD 296, HILLSBORO, AL 35643-3241
(256) 476-5993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9454
AL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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