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Individual

JASON DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
1840 HUDSON HOLLOW RD, STEPHENS CITY, VA 22655-3330
(412) 983-1004
Mailing address
1840 HUDSON HOLLOW RD, STEPHENS CITY, VA 22655-3330
(412) 983-1004

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603444
VA

Other

Enumeration date
02/24/2014
Last updated
02/24/2014
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