Individual
MRS. MARY ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4641 WELDIN ROAD, WILMINGTON, DE 19803
(302) 762-6025
(302) 762-4206
Mailing address
105 CLEAR CREEK DR, BEAR, DE 19701
(302) 367-4458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1 0001394
DE
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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