Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 E SOUTH BLVD, PETERSBURG, VA 23805-2700
(804) 733-1190
Mailing address
609 N 33RD ST, RICHMOND, VA 23223-7522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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