Individual
MRS. JENNIFER DAVIS
Active
Individual
MRS. JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203641
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q57015A
MEDICARE
VA
Enumeration date
04/28/2009
Last updated
06/10/2020
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