Individual
DAVIS DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 404-8007
(501) 904-3620
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 404-8007
(501) 904-3620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5142
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-5142
AR DEPT OF HEALTH STATE BOARD OF PHYSICAL THERAPY
AR
Enumeration date
08/10/2022
Last updated
08/10/2022
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