MICHAEL EDWARD DAVIS

MODESTO, CA
NPI1518030329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT 00635)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- MICHAEL EDWARD DAVIS PTA
4601 DALE RD
MODESTO, CA 95356
Phone number: 209-735-4048
Mailing Address
-- MICHAEL EDWARD DAVIS PTA
3609 DIX LN
MODESTO, CA 95356-1747
Phone number: 209-527-2658