Individual
LYNNE MIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2112 RIVERDALE ST STE 1, WEST SPRINGFIELD, MA 01089-1099
(413) 748-7223
(413) 493-2027
Mailing address
2112 RIVERDALE ST STE 1, WEST SPRINGFIELD, MA 01089-1099
(413) 748-7223
(413) 493-2027
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
8751
MA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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