Individual
DAVIDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 THOMPSON AVE, EAST POINT, GA 30344-6836
(404) 763-3477
Mailing address
1850 THOMPSON AVE, EAST POINT, GA 30344-6836
(404) 763-3477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002162
GA
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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