Birdee Lynne Davis, PTA

NPI #1447708177 in Pocatello, Idaho

Provider Information

NPI Number
1447708177
Entity Type
Individual
Name
Birdee Lynne Davis, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Credential
PTA
Enumeration Date
Sep 11, 2016
Last Updated
Sep 11, 2016

Practice Location

Address
715 CHERRY ST
State
Idaho
ZIP Code
83201-5646
Phone
(208) 705-4999

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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