Individual
DANA MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2621 GROVE AVENUE, RICHMOND, VA 23220-4308
(804) 254-5533
Mailing address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305207001
STATE LICENSE
VA
Enumeration date
10/19/2012
Last updated
12/19/2023
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