| Shawn D Davenport, PT | |
|
901 Grant St, Harvard, IL 60033-1821 | |
| (815) 943-5431 | |
| Not Available |
| Full Name | Shawn D Davenport |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 901 Grant St, Harvard, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841372174 | NPI | - | NPPES |
| 36104700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 70-011513 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn D Davenport, PT 901 Grant St, Harvard, IL 60033-1821 Ph: (815) 943-5431 | Shawn D Davenport, PT 901 Grant St, Harvard, IL 60033-1821 Ph: (815) 943-5431 |
Aapti Sharad Patel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-0659 | |
Mr. Jerrico Pureza, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 109 W Front St, Harvard, IL 60033 Phone: 815-943-0191 | |
Lorna Mae Woodall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5821 | |
Harvard Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 343 S Division St, Harvard, IL 60033 Phone: 815-943-0191 Fax: 815-943-0196 | |
Sheila Booc Kafka, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-0659 | |
Rehab Management Specialists, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 W Front St, Harvard, IL 60033 Phone: 312-804-9332 Fax: 815-943-0196 | |
Eric Vincent T Miranda, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 |