COREY LAMONN DAVIS

RIDGELAND, MS
NPI1952603649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA 4793)
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
-- COREY LAMONN DAVIS PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- COREY LAMONN DAVIS PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777