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Individual

JOSHUA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
333 E OSBORN RD, STE. 101, PHOENIX, AZ 85012-2360
(602) 388-4026
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12348A
AZ

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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