Individual
BARBARA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4683
Mailing address
21 WORMWOOD ST UNIT 422, BOSTON, MA 02210-1635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17960
MA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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