Individual
MRS. TAMMY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
936 CHARBONIER RD, FLORISSANT, MO 63031-5220
(314) 831-4800
Mailing address
335 HUMES LN, FLORISSANT, MO 63031-3005
(314) 921-1603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104249
MO
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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