Individual
JAIMEE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2639 NEW PINERY RD STE 2, PORTAGE, WI 53901-1110
(607) 429-3568
Mailing address
401 N EAU CLAIRE AVE APT 205, MADISON, WI 53705-2848
(608) 751-0601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16311-24Z
WI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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