Individual
MR. MICHAEL RYAN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 MCAULEY CT, HOT SPRINGS, AR 71913-6312
(501) 762-5864
Mailing address
111 SAINT CHARLES CIR, HOT SPRINGS, AR 71901-7953
(501) 733-3629
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2575
AR
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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