ANDREW BLAKE DAVIS

DANVILLE, WV
NPI1689451148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA002490)
Enumeration Date2023-09-08
Last Update Date2023-09-08
Business Address
ANDREW BLAKE DAVIS PTA
298 TRICORN RD
DANVILLE, WV 25053-7148
Phone number: 304-369-1385
Mailing Address
ANDREW BLAKE DAVIS PTA
464 3RD ST
MADISON, WV 25130-1435
Phone number: 304-654-5185
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