Individual
DESIREE N DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6700 NW 10TH PL, GAINESVILLE, FL 32605-4213
(352) 331-3111
Mailing address
1335 SW INDIAN GLN, LAKE CITY, FL 32025-0412
(386) 590-7749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29863
FL
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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