Individual
KATHLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 CALEB LN, ANNAPOLIS, MD 21401-4561
(410) 507-1800
Mailing address
2600 TIMBER CV, ANNAPOLIS, MD 21401-6824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19087
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19087
MARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS
MD
Enumeration date
03/08/2019
Last updated
03/08/2019
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