Individual
SUSAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 MIDDLE ST, FARMINGTON, ME 04938-6937
(207) 778-6469
(207) 778-3486
Mailing address
172 MAPLE AVE, FARMINGTON, ME 04938-6709
(207) 492-9409
(207) 778-3486
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2056
ME
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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