Individual
MS. EMMANUELLA DAVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
40 RESERVOIR ST, #212, BROCKTON, MA 02301-1166
(617) 792-9497
Mailing address
40 RESERVOIR ST, #212, BROCKTON, MA 02301-1166
(617) 792-9497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8054
MA
225200000X
Physical Therapy Assistant
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Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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