Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Marie Davault, OT

Individual provider Physical Therapist · NPI 1003832379

Angela Marie Davault, OT is a Physical Therapist in Bradley, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

400 S Kennedy Dr
Bradley, IL 60915-2682
Phone: (815) 928-8051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1003832379
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 8, 2007

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