Individual
DESTINY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 OVERSTREET CT, PALM HARBOR, FL 34683-5645
(727) 481-7010
Mailing address
375 OVERSTREET CT, PALM HARBOR, FL 34683-5645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25792
FL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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