Individual
AMY SYDBOTEN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09132
LICENSE
LA
Enumeration date
06/07/2018
Last updated
04/18/2023
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