Individual
MS. AMANDA JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
29255 NORTHWESTERN HWY, SUITE 300, SOUTHFIELD, MI 48034-1018
(248) 353-1234
(248) 353-1211
Mailing address
29255 NORTHWESTERN HWY, SUITE 300, SOUTHFIELD, MI 48034-1018
(248) 353-1234
(248) 353-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015491
MI
2251X0800X
Orthopedic Physical Therapist
5501015491
MI
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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