MATTHEW DAVIS

SHREVEPORT, LA
NPI1972142214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A9209)
Enumeration Date2020-01-03
Last Update Date2020-01-03
Business Address
MATTHEW DAVIS PTA
650 OLIVE ST
SHREVEPORT, LA 71104-2210
Phone number: 318-302-6000
Mailing Address
MATTHEW DAVIS PTA
4702 ERIN LN
SHREVEPORT, LA 71109-6215
Phone number:
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