Individual
LAUREN LOUISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 HALE ST, WILMINGTON, OH 45177-2104
(937) 382-1621
Mailing address
1280 MAYFAIR DR, WILMINGTON, OH 45177-1852
(937) 238-4864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011891
OH
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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