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Laurie Davenport, PT

Physical Therapist in Madison Heights, MI. Individual provider (NPI-1).

NPI number1013418136
StatusActive
Last updated in NPPESFeb 23, 2018

Details

NPI
1013418136
Entity type
Individual (NPI-1)
Name
Laurie Davenport
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2018
Last updated
Feb 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501008549MIYes

Practice location

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Phone 248-967-7312

Mailing address

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Phone 248-967-7312

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