-- MIKE STUART DAVIS -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1659578557- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 5415 SW WESTGATE DR STE L3, PORTLAND, OR, 972212409
- Phone
- (503) 297-3003
- Fax
- (503) 297-9414
Specialties & Taxonomies
Physical Therapy Assistant
License: MT #1353
Physical Therapy Assistant
Primary License: OR #8463