Individual
JEFFREY D'AVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8152
(301) 552-7900
Mailing address
7404 EXECUTIVE PL, #300B, LANHAM, MD 20706-2268
(301) 599-9500
(301) 856-7685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22231
MD
Other
Enumeration date
06/05/2008
Last updated
06/25/2014
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