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Shawnery Davidson, PTA
NPI 1801244710 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5408 Maryville Rd
Granite City, IL 62040 - Phone
- (618) 581-8328
- Fax
- (708) 479-2112
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-01
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