Individual
MS. DEBRA KAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-4039
Mailing address
7115 W VIEW DR, WIND LAKE, WI 53185-1929
(414) 881-1549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1023-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36121000
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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