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Individual

ANNE DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18003
NC
225100000X
Physical Therapist
Primary
64224
OR
225100000X
Physical Therapist
6971
ID

Other

Enumeration date
07/20/2018
Last updated
12/15/2021
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