Organization
DAVIS PHYSICAL THERAPY & SPORTS REHAB
Active
Organization
DAVIS PHYSICAL THERAPY & SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA JOHNSON DAVIS DPT (OWNER)
(609) 694-8896
Entity
Organization
Contact information
Practice address
320 EVESBORO MEDFORD RD, SUITE 310, MARLTON, NJ 08053-5733
(609) 694-8896
(609) 953-1715
Mailing address
6 DUNCAN CT, MEDFORD, NJ 08055-8467
(609) 760-9619
(609) 953-1715
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00883900
NJ
Other
Enumeration date
05/06/2016
Last updated
01/24/2017
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