Individual
ANTHONY JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1160 MONTAUK HWY, COPIAGUE, NY 11726
(630) 842-4606
(631) 842-0803
Mailing address
1160 MONTAUK HWY, COPIAGUE, NY 11726
(630) 842-4606
(631) 842-0803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0137261
NY
Other
Enumeration date
02/09/2006
Last updated
05/21/2008
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