Individual
JENNIFER M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
912 PLANTATION BLVD, FAIRHOPE, AL 36532-2952
(251) 928-4033
(251) 928-4032
Mailing address
PO BOX 1212, FAIRHOPE, AL 36533-1212
(251) 928-4033
(251) 928-4032
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH3108
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51094156
BCBS OF AL
AL
05
—
DA890005550
—
AL
Enumeration date
03/02/2006
Last updated
02/12/2013
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