Individual
MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1608 KINGSBURG HWY, JOHNSONVILLE, SC 29555-8004
(866) 571-2700
Mailing address
1608 KINGSBURG HWY, JOHNSONVILLE, SC 29555-8004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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