Individual
KRISTA RENEE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
650 FAIRWAY DR, EVANSVILLE, IN 47710-3306
(812) 425-5243
Mailing address
10535 FARVIEW CT, EVANSVILLE, IN 47720-8961
(812) 480-9583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002497A
IN
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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