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-- MICHAEL EDWARD DAVIS -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1518030329
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
4601 DALE RD, MODESTO, CA, 95356
Phone
(209) 735-4048

Specialties & Taxonomies

Physical Therapy Assistant Primary License: CA #AT 00635

All Addresses

MAILING

3609 DIX LN

MODESTO, CA, 953561747

(209) 527-2658

LOCATION

4601 DALE RD

MODESTO, CA, 95356

(209) 735-4048