Individual
MRS. JANCY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
822 N WOOD AVE STE 3, LINDEN, NJ 07036-4000
(908) 925-9700
(908) 663-2551
Mailing address
822 N WOOD AVE STE 3, LINDEN, NJ 07036-4000
(908) 925-9700
(908) 663-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00074400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QB000744700
NEW JERSEY STATE BOARD OF PHYSICAL THERAPY
NJ
Enumeration date
08/09/2017
Last updated
07/21/2022
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