Davis, Christopher

Davis, Christopher is an individual health care provider with primary practice located at 5306 Trail Lake Dr , Fort Worth TX 76133-1931. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Davis, Christopher can be contacted via phone (817) 433-0721.

Contact Information

Primary practice address
5306 Trail Lake Dr Fort Worth TX 76133-1931
Phone: (817) 433-0721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2055780 Texas

Profile Details

NPI number 1972832426
LBN Legal business name Davis, Christopher
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2009
Last updated Dec 11th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972832426 NPPES
Texas MEDICAID 149984001

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