Individual
MRS. HEATHER MICHELLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1540 SUNDAY DR, RALEIGH, NC 27607-6010
(919) 782-3456
Mailing address
1540 SUNDAY DRIVE, RALEIGH, NC 27607
(919) 782-3456
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
P12250
NC
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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