Most Relevant Information
Provider Data
NPI Number: | 1003339771 |
Provider Name: | CHELSEA DAVIS ATC |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 07/24/2017 |
Last Updated: | 07/24/2017 |
Provider Practice Location
610 PINAL AVE
ORCUTT
CA
934555302
Practice Location Phone/Fax
Phone: | 2013102067 |
Fax: |
Provider Mailing Location
1682 CRESTVIEW CIR
SAN LUIS OBISPO
CA
934016016
Provider Mailing Phone/Fax
Phone: | |
Fax: |