Individual
MITCHELL N DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5305 OLD OAK TREE DR., ORLANDO, FL 32808
(216) 526-2005
Mailing address
5305 OLD OAK TREE DR., ORLANDO, FL 32808
(216) 526-2005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2110498
TX
225200000X
Physical Therapy Assistant
Primary
PTA24658
FL
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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