Chad Davis, PTA

NPI #1003090309 in New Lenox, Illinois

Provider Information

NPI Number: 1003090309
Entity Type: Individual
Name: Chad Davis, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 21, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 806 LARAWAY RD
Address 2: #808
City: New Lenox
State: Illinois
ZIP Code: 60451-2694
Phone: (815) 462-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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