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Charles Alexander Davisson

Physical Therapist in Bridgeport, WV. Individual provider (NPI-1).

NPI number1992395818
StatusActive
Last updated in NPPESSep 5, 2024

Details

NPI
1992395818
Entity type
Individual (NPI-1)
Name
Charles Alexander Davisson
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 25, 2021
Certification date
Sep 5, 2024
Last updated
Sep 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT004775WVYes

Practice location

9905 George Washington Hwy
Bridgeport, WV 26330-7319

Phone 304-626-5301

Mailing address

9905 George Washington Hwy
Bridgeport, WV 26330-7319

Phone 304-626-5301

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Other Physical Therapist providers in Bridgeport, WV

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