Individual
CARSON D DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3616 N MAIN ST, ROCKFORD, IL 61103-2159
(815) 877-5932
(815) 877-6302
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027040
IL
225100000X
Physical Therapist
—
IL
Other
Enumeration date
04/20/2022
Last updated
12/05/2022
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