| Doctor Name: | MS. CLINTORIA NICOLE DAVIS |
| NPI Number: | 1124257340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PTH4690 |
| Business Practice Address: | 245 Cahaba Valley Pkwy Suite 200 Pelham, AL - 351242216 |
| Business Phone Number: | 2059426820 |
| Business Fax Number: | 2059425884 |
| Mailing Address: | 30 7th St, PLEASANT GROVE |
| State: | AL |
| Postal Code: | 351271962 |
| Phone Number: | 2057448226 |
| Fax Number: | 2057448234 |
| NPI Enumeration Date: | 07/09/2009 |
| NPI Last Update Date: | 07/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH4690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |