Individual
DAVIS MICHAEL CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 BILL FRIES DR BLDG K, HILTON HEAD ISLAND, SC 29926-2797
(843) 342-3012
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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