MIRANDA MARIE DAVIS

GERMANTOWN, WI
NPI1336872548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  16612-024)
Additional Taxonomies225100000X Physical Therapist
(Licence: IL  070.026716)
Enumeration Date2022-07-05
Last Update Date2024-04-23
Business Address
MIRANDA MARIE DAVIS
N112W17975 MEQUON RD
GERMANTOWN, WI 53022-2425
Phone number: 262-532-7600
Mailing Address
MIRANDA MARIE DAVIS
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250