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Individual

MRS. KAYTLEN ANNE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
3058
ME
225100000X
Physical Therapist
Primary
PT3058
ME
261QP2000X
Physical Therapy Clinic/Center
PT3058
ME

Other

Enumeration date
05/01/2007
Last updated
01/06/2021
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