Randel Brad Davis, PT

NPI #1134165103 in Chandler, Oklahoma

Provider Information

NPI Number
1134165103
Entity Type
Individual
Name
Randel Brad Davis, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
112 N BLAINE AVE
Address 2
SUITE A
ZIP Code
74834-1223
Phone
(405) 258-8644

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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