Individual
ANITA LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 858-7259
(904) 858-7255
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4426
FL
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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