Individual
MRS. TANYA J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
101 GLENDALE DR, TONAWANDA, NY 14150-4613
(716) 250-1500
(716) 250-1510
Mailing address
101 GLENDALE DR, TONAWANDA, NY 14150-4613
(716) 250-1500
(716) 250-1510
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014153-1
NY
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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