Angela Marie Davault in Bradley - Physical Therapist
Angela Marie Davault - NPI 1003832379
Angela Marie Davault is a Physical Therapist in Bradley, Illinois. Angela Marie Davault practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Angela Marie Davault is 1003832379. The last update date is 2007-07-08.
Angela Marie Davault's current location address is 400 S Kennedy Dr, Bradley, Illinois. You can contact this provider via phone number 8159288051. The mailing address for Angela Marie Davault is 400 S Kennedy Dr, Bradley, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Angela Marie Davault |
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Address | 400 S Kennedy Dr, Bradley, Illinois |
Phone Number | 8159288051 |
Fax Number | |
Sole Proprietor | N |
Credentials | OT |
NPI Number Detail
NPI Number | 1003832379 |
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Provider Enumeration Date | 2006-07-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 400 S Kennedy Dr |
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City | Bradley |
State | Illinois (IL) |
Post Code | 609152682 |
Phone Number | 8159288051 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code assigned to Angela Marie Davault by the Centers for Medicare & Medicaid Services?
The Angela Marie Davault has been issued the NPI (National Provider Identifier) 1003832379 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Angela Marie Davault's physical address?
The Angela Marie Davault is physically located at 400 S Kennedy Dr, in the city of Bradley, IL, with the postal code 609152682.
What is Angela Marie Davault's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Angela Marie Davault is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Angela Marie Davault receive the assignment of its 1003832379 from the Centers for Medicare & Medicaid Services?
The Angela Marie Davault was issued its 1003832379 by the Centers for Medicare & Medicaid Services on 2006-07-13.
When was the information pertaining to Angela Marie Davault most recently updated or revised?
The details related to Angela Marie Davault, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.