Individual
MR. GARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 N PERRY ST, JOHNSTOWN, NY 12095-1014
(518) 762-0024
Mailing address
465 N PERRY ST, JOHNSTOWN, NY 12095-1014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004207-1
NY
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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