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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELA MARIE DAVAULT, OT

Active

ANGELA MARIE DAVAULT, OT is a Physical Therapy Assistant healthcare provider located in BRADLEY, Illinois. NPI 1003832379 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BRADLEY, IL

Registration Details

NPI Number
1003832379
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2006 (20.045991109042 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
400 S KENNEDY DR
BRADLEY, IL, 609152682
Browse IL providers · Browse ZIP 60915
Phone
8159288051
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BRADLEY, IL

Name Credential NPI
EVELYN RODRIGUEZ OT 1730107087
MR. GERARD BREUKER PT, DPT 1992820807
KELLY MARIE BUFFORD PT ATC 1497959647
REBECCA JANE MAUPIN PT 1134383326
MELISSA HYMA PT, MPT 1093969974
MARY ANN SALERA GARCIA PT 1487905352
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.