| NPI | 1245670520 |
|---|---|
| Former Name | REBECCA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24525) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-04-01 |