Individual
LISA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29 HIGHLAND ST, WEST HARTFORD, CT 06119-1324
(860) 236-5623
Mailing address
1073 PECK LN, CHESHIRE, CT 06410-1530
(203) 980-0278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4461
CT
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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