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Individual

SUSAN ELLEN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1600 CRAIN HWY S, SUITE 302, GLEN BURNIE, MD 21061-5577
(410) 768-1213
(410) 768-1203
Mailing address
6261 DEEP RIVER CYN, COLUMBIA, MD 21045-2572

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
17118
MD

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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