Individual
MRS. EMILY DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6037 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-9891
(817) 370-9894
Mailing address
6037 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-9891
(817) 370-9894
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1233753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192079501
—
TX
01
—
45-6752
MEDICARE FACILITY ID
TX
Enumeration date
08/28/2013
Last updated
08/28/2013
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