Individual
MR. ANTONE LLEWELLYN DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPTSC, PT
Contact information
Practice address
1910 OLD TUSTIN AVE, SANTA ANA, CA 92705-7811
(714) 835-6638
(714) 835-4889
Mailing address
18791 OAK RIDGE DR, SANTA ANA, CA 92705-2252
(714) 832-8266
(714) 835-4889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19242
CA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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