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

MR. CHARLES S DAVIDSON, MED.,ATC.,CSCS.,CEAS

Active Sole Proprietor

MR. CHARLES S DAVIDSON, MED.,ATC.,CSCS.,CEAS is a Occupational Therapy Assistant healthcare provider located in CONWAY, Arkansas. NPI 1891985438 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CONWAY, AR

Registration Details

NPI Number
1891985438
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2007 (19.060857920864 yrs)
Last Updated
Jul 30, 2007
License
AT120 (AR)
Sole Proprietor
Yes

Practice Information

Address
1930 ROYAL DR
CONWAY, AR, 720347346
Browse AR providers · Browse ZIP 72034
Phone
5015807670
Primary Specialty
Occupational Therapy Assistant
225400000X
Additional Specialty
Athletic Trainer
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.