Individual
MR. BRIAN R DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2211 S HIGHWAY 77 STE 200, LYNN HAVEN, FL 32444-4641
(850) 252-1414
Mailing address
12202 LYNDELL PLANTATION DR, PANAMA CITY BEACH, FL 32407-2620
(850) 691-9144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30607
FL
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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