Individual
ANNA DESIREE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1304 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3108
(301) 733-2914
Mailing address
4329 MIDDLEPOINT RD, MYERSVILLE, MD 21773-9319
(240) 457-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22454
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22454
MARYLAND BOARD OF PHYSICAL THERAPY EXAMINERS
MD
Enumeration date
12/28/2018
Last updated
12/28/2018
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