Individual
AMY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1405 7TH ST S, MOORHEAD, MN 56560-3444
(701) 291-2294
Mailing address
1405 7TH ST S, MOORHEAD, MN 56560-3444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A95
MN
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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