Individual
RUSSELL TREY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80082
AL
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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