Individual
CHARLES DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10040 HILLVIEW DR, PENSACOLA, FL 32514-5499
(850) 607-6024
Mailing address
6111 ENTERPRISE DR APT 2108, PENSACOLA, FL 32505-1645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22152
FL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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