Individual
CHARLES ALEXANDER DAVISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9905 GEORGE WASHINGTON HWY, BRIDGEPORT, WV 26330-7319
(304) 626-5301
Mailing address
9905 GEORGE WASHINGTON HWY, BRIDGEPORT, WV 26330-7319
(304) 626-5301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004775
WV
Other
Enumeration date
01/25/2021
Last updated
09/05/2024
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