Individual
ANGELA JEAN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 COUNTRY CLUB RD, MOUNT VERNON, IN 47620-9301
(812) 838-6554
(812) 838-9685
Mailing address
1530 CASS AVE, EVANSVILLE, IN 47714-3604
(812) 471-9701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000564A
IN
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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