Individual
GIZELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2305 RANCOCAS RD, BURLINGTON, NJ 08016-4113
(609) 747-8619
Mailing address
105 KINGSBERRY DR, SOMERSET, NJ 08873-4307
(732) 354-0665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00051800
NJ
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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