Individual
CLINTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
472 TAUNTON AVE, SEEKONK, MA 02771-3126
(508) 336-0091
(508) 336-4496
Mailing address
63 S MAIN ST, RANDOLPH, MA 02368-4820
(781) 961-9200
(781) 961-6599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12025
MA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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