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Individual

MRS. TRICIA ELIZABETH DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
5782 ADAMS AVENUE PARKWAY, OGDEN, UT 84405
(801) 917-8000
(801) 917-8001
Mailing address
1945 SCOTSVILLE ROAD, B2 PMB356, BOWLING GREEN, KY 42104
(270) 842-8824
(270) 842-7917

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
349228-2401
UT

Other

Enumeration date
08/20/2010
Last updated
08/20/2010
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