Individual
LAURA ELLEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 N MIDDLETOWN RD, MEDIA, PA 19063-4059
(610) 892-0667
Mailing address
426 HEATHERWOOD DR, MEDIA, PA 19063-5131
(610) 742-0376
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OC012188
PA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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