Most Relevant Information
Provider Data
| NPI Number: | 1003036765 |
| Provider Name: | JOHN RANDOLPH DAVIES PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT 12977 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2661 COPA DE ORO DR
LOS ALAMITOS
CA
907204909
Practice Location Phone/Fax
| Phone: | 5624932223 |
| Fax: |
Provider Mailing Location
2661 COPA DE ORO DR
LOS ALAMITOS
CA
907204909
Provider Mailing Phone/Fax
| Phone: | 5624932223 |
| Fax: |