Individual
JULIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
130 MARVIN RD SE, STE 203, LACEY, WA 98503-6100
(360) 456-3300
(425) 775-0963
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036944-1
NY
225100000X
Physical Therapist
Primary
PT60539770
WA
Other
Enumeration date
11/25/2013
Last updated
04/07/2015
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