Michaela Davenport

NPI #1750193512 in Agawam, Massachusetts

Provider Information

NPI Number: 1750193512
Entity Type: Individual
Name: Michaela Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 470 SHOEMAKER LN
City: Agawam
State: Massachusetts
ZIP Code: 01001-3620
Phone: (413) 789-0752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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