Individual
MRS. DONNA KLOKKEVOLD DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
25960 WHITE SPRUCE DR, EAGLE RIVER, AK 99577-9668
(907) 694-2545
(907) 694-2545
Mailing address
25960 WHITE SPRUCE DR, EAGLE RIVER, AK 99577-9668
(907) 694-2545
(907) 694-2545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
A0065
AK
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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