Individual
MARY MARGARET DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4145 NEVIS ST, BOULDER, CO 80301-6818
(720) 565-2805
Mailing address
821 INCORRIGIBLE CIR, LONGMONT, CO 80504-7381
(303) 682-8815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6261
CO
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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