Individual
ALYSHA P DAVIS-BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1089 JASON PL, CHATHAM, IL 62629-2018
(217) 483-5858
(217) 483-5855
Mailing address
1089 JASON PL, CHATHAM, IL 62629-2018
(217) 483-5858
(217) 483-5855
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070013030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070013030
STATE LICENSE
IL
Enumeration date
07/06/2006
Last updated
04/17/2009
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