Individual
MICHAEL A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1505 E STEVE OWENS BLVD, MIAMI, OK 74354-7917
(918) 542-4101
(918) 542-4410
Mailing address
1505 E STEVE OWENS BLVD, MIAMI, OK 74354-7917
(918) 542-4101
(918) 542-4410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2057
OK
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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