Individual
HEATHER SAMANTHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
937 15TH ST, AUGUSTA, GA 30912-0008
(706) 721-7529
Mailing address
937 15TH ST, AUGUSTA, GA 30912-0008
(706) 721-7529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001693
GA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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