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Individual

DALE DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1288 S GOVERNORS AVE, DOVER, DE 19904-4802
(302) 677-0100
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000233
DE

Other

Enumeration date
07/17/2006
Last updated
02/26/2013
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