Individual
SHATEKA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MONICA BLVD, LYNCHBURG, VA 24502-2269
(434) 515-1247
Mailing address
131 PRIMROSE LN APT B, LYNCHBURG, VA 24501-3012
(434) 477-3084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
VA
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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