Individual
MR. DUSTIN ALAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4120 S POPLAR ST, CASPER, WY 82601-6104
(307) 333-2873
Mailing address
4120 S POPLAR ST, CASPER, WY 82601-6104
(307) 333-2873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1370
WY
Other
Enumeration date
06/30/2011
Last updated
05/20/2015
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