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NPI Code Detail

MEDICARE: MS. LORI ANN DAVIS PT

MEDICARE:  MS. LORI ANN DAVIS  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3008MS

General Provider Information

NPI Number : 1558107532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI ANN DAVIS PT
Provider Business Mailing Address
First Line : 7 MOSSY OAKS LN
Second Line :
City : LONG BEACH
State : MS
Zip : 39560-9137
Country : US
Telephone Number : 601-757-0156
Fax Number :
Provider Business Practice Location Address
First Line : 19020 PINEVILLE RD STE 4
Second Line :
City : LONG BEACH
State : MS
Zip : 39560-4572
Country : US
Telephone Number : 228-863-4080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2024
Last Update Date : 07/08/2024

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Directions to “ MS. LORI ANN DAVIS PT” Practice Location

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