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Individual

MRS. ELLEN EDWARDS DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
140 CHESTNUT ST, ANDOVER, MA 01810-1831
(978) 475-3522
Mailing address
140 CHESTNUT ST, ANDOVER, MA 01810-1831
(978) 475-3522

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2330
NH
225100000X
Physical Therapist
Primary
4651
MA

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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