Individual
TRUDY MAE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3291 S THOMPSON ST STE C103, SPRINGDALE, AR 72764-7343
(479) 750-3535
(479) 750-3539
Mailing address
404 LAKE RD, SPRINGDALE, AR 72764-2508
(479) 750-3535
(479) 750-3539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1659
AR
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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