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Timothy Davis, ATC,PTA
NPI 1245353325 · on the registry since 2007
Practice
- Address
- 900 N Washington St
Du Quoin, IL 62832 - Phone
- (618) 542-2146
- Organisation at this address
- Marshall Browning Hospital Association
Marshall Browning Hospital Association
Marshall Browning Hospital Association
Kidney Care Services Of Southern Illinois, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois