Individual
DALLAS DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 E GREENVILLE ST, ANDERSON, SC 29621-2284
(864) 870-1360
Mailing address
201 ASHLEY DOWNS, ANDERSON, SC 29621-2408
(864) 314-5834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13124
SC
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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