Individual
JESSICA TAMARA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
700 GARDEN VIEW CT STE 103, ENCINITAS, CA 92024-2478
(760) 632-6942
(760) 632-6819
Mailing address
4608 MARDI GRAS ST, OCEANSIDE, CA 92057-5108
(760) 622-3875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT300184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300184
PT LICENSE
CA
Enumeration date
05/17/2021
Last updated
03/14/2025
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