Individual
AMY R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 HAWTHORN HOUSE DR, SHALIMAR, FL 32579-1168
(850) 609-2550
Mailing address
1200 HAWTHORN HOUSE DR, SHALIMAR, FL 32579-1168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23401
FL
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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