PHILIP DARREN DAVIDSON

FREMONT, NE
NPI1679555999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NE  1061)
Enumeration Date2005-11-14
Last Update Date2023-08-22
Business Address
PHILIP DARREN DAVIDSON MPT
410 E 22ND ST
FREMONT, NE 68025-2639
Phone number: 800-974-4378
Mailing Address
PHILIP DARREN DAVIDSON MPT
24014 W RENWICK RD UNIT 206
PLAINFIELD, IL 60544-8711
Phone number: 800-974-4378