Individual
EILEEN C DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
(407) 792-5693
Mailing address
249 ORANGE AVE, JACKSONVILLE, FL 32259-4215
(904) 230-7148
(904) 230-7148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
PT8104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886151000
—
FL
Enumeration date
08/21/2005
Last updated
07/06/2021
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