Individual
ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12221 MADISON AVE, LAKEWOOD, OH 44107-5029
(216) 221-2525
Mailing address
3967 COLUMBIA RD, NORTH OLMSTED, OH 44070-2125
(440) 777-7837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137836
ANTHEM
OH
05
—
2582183
—
OH
01
—
300629551005
MEDICAL MUTUAL
OH
Enumeration date
07/05/2006
Last updated
07/08/2007
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