Individual
STACEY MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CLT
Contact information
Practice address
1576 MERRITT BLVD STE 7, DUNDALK, MD 21222-2114
(410) 650-2145
(410) 282-5955
Mailing address
1576 MERRITT BLVD STE 7, DUNDALK, MD 21222-2114
(410) 650-2145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3045
MD
Other
Enumeration date
08/31/2006
Last updated
02/16/2024
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