Individual
ETHAN A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3451 TECHNOLOGICAL AVE STE 1, ORLANDO, FL 32817-8353
(407) 681-2520
Mailing address
3138 BUCK HILL PL, ORLANDO, FL 32817-5864
(407) 575-9964
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
FL
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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