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Individual

LISA DAVISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, MPT

Contact information

Practice address
7501 WOOSTER PIKE, CINCINNATI, OH 45227
(513) 476-6284
Mailing address
5879 ROPES DR, CINCINNATI, OH 45244-3832

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
004266
KY
2251P0200X
Pediatric Physical Therapist
Primary
PT010084
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2187155
OH
Enumeration date
12/19/2007
Last updated
04/06/2018
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