Individual
MRS. JANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MSHP
Contact information
Practice address
64 APRIL WIND DR S, MONTGOMERY, TX 77356-5966
(936) 524-3979
Mailing address
64 APRIL WIND DR S, MONTGOMERY, TX 77356-5966
(936) 524-3979
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1-3699-4
TX
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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