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Individual

MRS. BARBARA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
201 MONROE ST, MONTGOMERY, AL 36104-3735
(334) 206-5680
Mailing address
3105 TROTTERS TRL, WETUMPKA, AL 36093-2318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
265
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51501081
BCBS PROVIDER NUMBER
AL
Enumeration date
03/30/2007
Last updated
07/08/2007
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