Individual
MR. ELLIOT W DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4201 TUDOR CENTRE DRIVE, ANCHORAGE, AK 99508
(907) 729-5649
Mailing address
4201 TUDOR CENTRE DRIVE, ANCHORAGE, AK 99508
(907) 729-5649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
529
AK
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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