Individual
MS. SHERRY LEE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 N 7TH AVE, STURGEON BAY, WI 54235-1708
(920) 743-6274
Mailing address
207 ASH ST, LUXEMBURG, WI 54217-1212
(920) 845-9204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
787-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841467230
—
WI
Enumeration date
05/14/2008
Last updated
12/29/2012
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