| NPI | 1417115866 |
|---|---|
| Former Name | LUCINDA MARIE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 4568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205404) |
| 225100000X Physical Therapist (Licence: GA PT012299) | |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2021-08-11 |