Mary Davis, LPTA

NPI #1730551458 in Destin, Florida

Provider Information

NPI Number: 1730551458
Entity Type: Individual
Name: Mary Davis, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 195 MATTIE M KELLY BLVD
City: Destin
State: Florida
ZIP Code: 32541-2811
Phone: (850) 654-4588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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