Individual
ANDREW DAVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
956 CELESTITE DR, FRUITA, CO 81521-8402
(208) 596-2102
Mailing address
956 CELESTITE DR, FRUITA, CO 81521-8402
(208) 596-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012996
CO
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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