Individual
RAYMOND LEON DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1300 NORBERT CIR, CONWAY, AR 72034-2010
(501) 352-0256
Mailing address
1300 NORBERT CIR, CONWAY, AR 72034-2010
(501) 352-0256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4215
AR
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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