Individual
MISS DEBRA ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 S WESTERN AVE, CHICAGO, IL 60612-3531
(312) 226-9777
(312) 226-9767
Mailing address
610 S WESTERN AVE, CHICAGO, IL 60612-3531
(312) 226-7145
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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