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General NPI Number Information
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NPI Number | 1003666058
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER DAVIS PHYSICAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1206 E BROUSSARD RD STE 102
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City | LAFAYETTE
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State | LA
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Zip | 70508-8371
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Country | US
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Telephone | 337-450-9111
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Fax | 337-484-3164
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Provider Business Mailing Address
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Address Line | 1206 E BROUSSARD RD STE 102
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City | LAFAYETTE
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State | LA
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Zip | 70508-8371
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Country | US
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Telephone | 337-450-9111
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Fax | 337-484-3164
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER DAVIS
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Credential | DPT
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Telephone | 337-258-9962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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