Individual
ALEX DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 E MAIN ST STE A1, TUPELO, MS 38804-4040
(662) 807-4232
Mailing address
341 E MAIN ST STE A1, TUPELO, MS 38804-4040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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