Individual
JESSICA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8200 GOOD LUCK RD, LANHAM, MD 20706-3511
(301) 552-2000
Mailing address
8420 PARK RD, PASADENA, MD 21122-2957
(443) 618-3339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3314
MD
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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