Individual
MOLLY BRYAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
154 MERRITT DR, TUPELO, MS 38801-9356
(785) 826-6134
Mailing address
154 MERRITT DR, TUPELO, MS 38801-9356
(785) 826-6134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5376
MS
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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