Individual
DANIELLE M DAVOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2036 US HIGHWAY 45 BYP S, TRENTON, TN 38382-2941
(731) 377-8407
Mailing address
3533 HIGHWAY 104 E, DYERSBURG, TN 38024-7611
(731) 377-8407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7500
TN
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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