Individual
PAIGE DAVIDSON
Active
Individual
PAIGE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4987
NM
225100000X
Physical Therapist
7321
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34402501
—
NM
01
—
5644211YUFC
MEDICARE #
NM
Enumeration date
09/25/2006
Last updated
09/13/2018
Update your record
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