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Individual

JENNIFER E DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
240 W 11TH ST, SUITE 401, ERIE, PA 16501-1758
(814) 464-0627
(814) 464-0629
Mailing address
240 WEST 11TH ST SUITE 401, NIAGARA THERAPY, LLC, ERIE, PA 16501
(814) 464-0627
(814) 464-0629

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011958
PA

Other

Enumeration date
04/06/2012
Last updated
04/06/2012
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