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Individual

KRISERICA DAWN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
626 N TYNDALL PKWY, PANAMA CITY, FL 32404-6132
(850) 871-6363
Mailing address
525 8TH ST APT B, PORT SAINT JOE, FL 32456-1715
(850) 348-7693

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26828
FL

Other

Enumeration date
09/12/2017
Last updated
09/12/2017
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