Individual
NANCY PHILLIPS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
524 LAKEVIEW CV, RIDGELAND, MS 39157-1117
(601) 259-4710
Mailing address
524 LAKE VIEW COVE, RIDGELAND, MS 39157
(601) 259-4710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4431
MS
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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