| NPI | 1669849717 |
|---|---|
| Former Name | ALENA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 016062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3254) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-09-02 |