Individual
NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WALNUT BOTTOM RD, CARLISLE, PA 17013-3631
(717) 960-7720
Mailing address
700 WALNUT BOTTOM RD, CARLISLE, PA 17013-3631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE009567
PA
225200000X
Physical Therapy Assistant
Primary
TEI003852
PA
Other
Enumeration date
11/06/2013
Last updated
02/01/2016
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