Individual
MR. TOMMIE LEROY DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
158 GROSS ST, MARIETTA, OH 45750-2031
(740) 374-1422
Mailing address
61 METTA CREST CIR, WAVERLY, WV 26184-3342
(304) 834-6244
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5868
OH
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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