Individual
MRS. LAURA B DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
304 S SWEET GUM PL, BROKEN ARROW, OK 74012-4585
(918) 284-1727
Mailing address
304 S SWEET GUM PL, BROKEN ARROW, OK 74012-4585
(918) 284-1727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA251
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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