Individual
DANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
205 E POPLAR ST, FORT GIBSON, OK 74434-8272
(918) 478-2456
Mailing address
205 E POPLAR ST, FORT GIBSON, OK 74434-8272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2390
OK
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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