Individual
DEIRDRE C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1075 BAYSHORE DR, ROCK HILL, SC 29732-1569
(803) 327-8655
(803) 327-8664
Mailing address
4746 CASCADE AVE, ROCK HILL, SC 29732-8190
(803) 325-4280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
387
SC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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