Individual
MR. JOHN L DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
MONTCLAIR STATE UNIVERSITY, 1 NORMAL AVE., MONTCLAIR, NJ 07043-1624
(973) 655-5250
(973) 655-5436
Mailing address
22 HILTON ST, PEQUANNOCK, NJ 07440-1311
(973) 633-8010
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
25MT00010700
NJ
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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