Individual
MS. KATIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
4702 MEGAN RD, FLORENCE, SC 29505-8909
(843) 661-2678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
357
SC
Other
Enumeration date
06/28/2007
Last updated
08/07/2007
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