Individual
ARIEL ROSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9825 HIGHWAY 199, SPC 53, GASQUET, CA 95543
(951) 666-0870
Mailing address
9825 HIGHWAY 199, SPC 53, GASQUET, CA 95543
(951) 666-0870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10044
OR
225200000X
Physical Therapy Assistant
48283
CA
Other
Enumeration date
09/22/2018
Last updated
04/15/2022
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