Individual
BRENT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
156 GRANVILLE ST, GAHANNA, OH 43230-6505
(614) 470-6240
(614) 470-6244
Mailing address
156 GRANVILLE ST, GAHANNA, OH 43230-6505
(614) 470-6240
(614) 470-6244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17781
MD
225100000X
Physical Therapist
Primary
PT020120
OH
Other
Enumeration date
09/10/2021
Last updated
12/23/2022
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