Individual
DAVID R DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1583
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
01
—
1033218524
GROUP NPI
MS
01
—
256545
MEDICARE PART A
MS
Enumeration date
08/30/2006
Last updated
03/31/2009
Update your record
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