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1396268496
MIKAELA DAVIS
ROANOKE, VA
NPI
1396268496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604780)
Enumeration Date
2017-07-20
Last Update Date
2022-07-21
Business Address
MIKAELA DAVIS
4920 WOODMAR DR SW
ROANOKE, VA 24018-1651
Phone number: 866-450-4522
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Mailing Address
MIKAELA DAVIS
P.O. BOX 3155
ROANOKE, VA 24018
Phone number: 540-383-7549
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