Individual
MARY MELINDA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4424 ROGERS RD, MONROE, NC 28110-7354
(980) 328-5120
Mailing address
4424 ROGERS RD, MONROE, NC 28110-7354
(980) 328-5120
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
15010
NC
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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