Shawnery Davidson, PTA
NPI #1801244710 in Granite City, Illinois
Provider Information
- NPI Number
- 1801244710
- Entity Type
- Individual
- Name
- Shawnery Davidson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 1, 2016
- Last Updated
- Jun 1, 2016
Practice Location
- Address
- 5408 MARYVILLE RD
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-2611
- Phone
- (618) 581-8328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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