Laurel Anne Davis
Rehabilitation Practitioner in Waxhaw, NC. Individual provider (NPI-1).
NPI number1043494594
StatusActive
Last updated in NPPESDec 19, 2007
Details
- NPI
- 1043494594
- Entity type
- Individual (NPI-1)
- Name
- Laurel Anne Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2007
- Last updated
- Dec 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
3022 Chisholm CtWaxhaw, NC 28173-7865
Phone 704-843-2020
Mailing address
5901 Potters RdMatthews, NC 28104-0505
Phone 704-618-0803
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