Individual
MR. ADAM M. DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2636 N 90TH ST, WAUWATOSA, WI 53226-1813
(414) 763-9542
Mailing address
2636 N 90TH ST, WAUWATOSA, WI 53226-1813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5066-024
WI
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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