Individual
ANN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11134 N HWY 77, HAYWARD, WI 54843
(715) 634-5505
Mailing address
11134 N HWY 77, HAYWARD, WI 54843
(715) 634-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6003-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40436300
—
WI
01
—
6404581
MEDICA
—
Enumeration date
07/03/2006
Last updated
07/08/2007
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