BLAINE SCOTT DAVIS

CAPE GIRARDEAU, MO
NPI1881340081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2016037346)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
BLAINE SCOTT DAVIS PTA
216 HILLVALE ST
CAPE GIRARDEAU, MO 63701-9571
Phone number: 619-655-0289
Mailing Address
BLAINE SCOTT DAVIS PTA
216 HILLVALE ST
CAPE GIRARDEAU, MO 63701-9571
Phone number: 619-655-0289
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