NPI 1174719033

Charles Henry Davis

Practitioner Orthotic Fitter Bossier City, LA

Practice location

Address: 4859 Shed Rd Suite 200, Bossier City, LA 71111
Phone: (318) 746-5000
Fax: (318) 746-4000
Mailing address: 4859 Shed Rd Suite 200, Bossier, LA 71111-4859

Registered specialties (3)

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1174719033
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2007
Record last updated: 27 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.