| NPI | 1831341841 |
|---|---|
| Former Name | RANDI LEIGH DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 24367) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-04-09 |