Robert Davenport II, PTA

NPI #1588182067 in Lutherville, Maryland

Provider Information

NPI Number: 1588182067
Entity Type: Individual
Name: Robert Davenport II, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 5, 2017
Last Updated: Sep 5, 2017

Practice Location

Address: 515 BRIGHTFIELD RD
City: Lutherville
State: Maryland
ZIP Code: 21093-3643
Phone: (410) 296-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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