Individual
LINDA EILEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001917
DE
2251S0007X
Sports Physical Therapist
J1-0001917
DE
2251X0800X
Orthopedic Physical Therapist
J1-0001917
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11534468
CAQH
—
01
—
1629098827
TRICARE
—
05
—
1629098827
—
DE
01
—
2714054000
IBC AMERIHEALTH
—
01
—
5070-0072
NCA
—
01
—
88760518
CAREFIRST
—
Enumeration date
07/20/2006
Last updated
03/04/2013
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