Individual
SHELLY DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 348-7571
(703) 780-6438
Mailing address
2208 N PICKETT ST, APT 203, ALEXANDRIA, VA 22304-1064
(904) 624-5190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603980
VA
225200000X
Physical Therapy Assistant
A4539
MD
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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