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1336365618
SCOTT DAVIS
BLOOMER, WI
NPI
1336365618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 417-019)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- SCOTT DAVIS PTA
1402 MAIN ST
BLOOMER, WI 54724-1637
Phone number: 715-568-4669
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Mailing Address
-- SCOTT DAVIS PTA
4177 144TH ST
CHIPPEWA FALLS, WI 54729-7800
Phone number: 715-726-9429
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