CARSON D DAVIES

ROCKFORD, IL
NPI1922741552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070027040)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2022-04-20
Last Update Date2022-12-05
Business Address
CARSON D DAVIES DPT
3616 N MAIN ST
ROCKFORD, IL 61103-2159
Phone number: 815-877-5932
Mailing Address
CARSON D DAVIES DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-1980