ANGELA DAVAULT, OT

Physical Therapist

Active Individual
NPI: 1003832379

Practice Address

400 S KENNEDY DR
Bradley, IL 60915

Phone: (815) 928-8051

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes -

Frequently Asked Questions

NPI 1003832379 is the National Provider Identifier for ANGELA DAVAULT, OT, a Physical Therapist provider located in Bradley, IL. This NPI was enumerated on July 13, 2006.
ANGELA DAVAULT, OT practices at 400 S KENNEDY DR, Bradley, IL 60915.

Quick Facts

NPI
1003832379
Type
Individual
Enumerated
Jul 13, 2006
Last Updated
Jul 8, 2007

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