Individual
LINCOLN WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1004 E MAIN ST STE D, ROCKPORT, TX 78382-2610
(361) 727-6141
Mailing address
1004 E MAIN ST STE D, ROCKPORT, TX 78382-2610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2082140
TX
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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