Individual
MR. JESSIE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
108 MEMORY PLZ, WHITEVILLE, NC 28472-2640
(910) 642-0500
(910) 642-9282
Mailing address
108 MEMORY PLZ, COLUMBUS PHYSICAL THERAPY, WHITEVILLE, NC 28472-2640
(910) 642-0500
(910) 642-9282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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