Individual
ANNELISE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
500 W UNIVERSITY AVE, HAMMOND, LA 70401-1304
(985) 549-2200
(985) 549-2511
Mailing address
901 PECAN ST APT 47, HAMMOND, LA 70401-2373
(215) 284-4226
(985) 549-2511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200506
LA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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