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1134472855
BRIAN ROBERT DAVIS
SAINT JAMES, NY
NPI
1134472855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 009384-1)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
Mr. BRIAN ROBERT DAVIS P.T.
253 6TH AVE
SAINT JAMES, NY 11780-2707
Phone number: 631-584-0103
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Mailing Address
Mr. BRIAN ROBERT DAVIS P.T.
253 6TH AVE
SAINT JAMES, NY 11780-2707
Phone number: 631-584-0103
Copy
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