Individual
JENA ALLEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141
(540) 633-6538
Mailing address
115 TALUS LN NW APT 205, CHRISTIANSBURG, VA 24073
(276) 733-3334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605901
VA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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