Individual
DEVON E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01082900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120414DBD
MEDICARE
NJ
Enumeration date
11/20/2007
Last updated
02/24/2020
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