Individual
CHLOE BRYANNA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
932 PINE HILL DR, FAIRMONT, WV 26554-3547
(304) 777-6935
Mailing address
932 PINE HILL DR, FAIRMONT, WV 26554-3547
(304) 777-6935
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002795
WV
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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