Individual
MR. CLAYTON SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
700 N PALMETTO ST, LEESBURG, FL 34748-4419
(352) 323-5636
Mailing address
31037 SECRETARIAT TRL, LEESBURG, FL 34748-9681
(352) 360-0688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-015664
FL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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