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John Randolph Davies, PT

Physical Therapist in Los Alamitos, CA. Individual provider (NPI-1).

NPI number1003036765
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003036765
Entity type
Individual (NPI-1)
Name
Mr. John Randolph Davies
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT 12977CAYes

Practice location

2661 Copa De Oro Dr
Los Alamitos, CA 90720-4909

Phone 562-493-2223

Mailing address

2661 Copa De Oro Dr
Los Alamitos, CA 90720-4909

Phone 562-493-2223

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