| NPI | 1801953997 |
|---|---|
| Former Name | DANA DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01925) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00990500) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |