Individual
LORIEN MCDAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 VENTURE DR, SUITE C, SOUTH DAYTONA, FL 32119-3478
(386) 763-0084
Mailing address
401 VENTURE DR, SUITE C, SOUTH DAYTONA, FL 32119-3478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22860
FL
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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