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Individual

MR. RICHARD HOWARD DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA, CMT

Contact information

Practice address
1103H PLAZA DR, GRUNDY, VA 24614-9434
(276) 935-5525
Mailing address
1103H PLAZA DR, GRUNDY, VA 24614-9434
(276) 935-5525

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2306001366
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810000838
WV
Enumeration date
01/29/2007
Last updated
07/08/2007
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