Individual
CHELSEA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3351
(434) 848-4766
Mailing address
704 TARRAGON CT, NEW BERN, NC 28562-4936
(252) 626-6257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A6605
NC
225200000X
Physical Therapy Assistant
Primary
CP014585A
VA
Other
Enumeration date
08/03/2022
Last updated
08/08/2022
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