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Individual

ALYSSA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
819 W. BLACKHAWK, CHICAGO, IL 60642
(312) 397-1900
(312) 397-1901
Mailing address
681 56TH PL, CLARENDON HILLS, IL 60514-1557
(630) 850-7901
(630) 850-7903

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070019224
IL

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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