Lisa Davis PT

NPI 1700810355 - Physical Therapist - 2251P0200X

NPI Details
NPI 1700810355
Gender Female
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 WILSON LOOP
WARD AR, 72176, US
Phone (501) 941-5630
Fax
Business Location
6 FAIRVIEW CT
JACKSONVILLE AR, 72076-2603, US
Phone (501) 941-5630
Fax
Toxanomy
Taxonomy Code 2251P0200X
License State Arkansas
License Number PT1587
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According to our database, Ms. Lisa Davis PT NPI is 1700810355, taxonomy code is 2251P0200X and license number is PT1587, license state is located at Arkansas. Lisa Davis PT physically located at 1500 Wilson Loop, Ward AR, 72176. NPI Number Lisa Davis PT has the Individual type.

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1700810355 NPI number is provided on an as is basis without warranty of any kind. 1700810355 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Davis PT are for informational purposes only.