Individual
JUSTINE AMELIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SEABURY DR, BLOOMFIELD, CT 06002-2650
(860) 243-6082
Mailing address
50 WILLARD ST APT N406, HARTFORD, CT 06105-1849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9885
CT
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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