Individual
ELIZABETH JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 RAINBOW RD, EAST GRANBY, CT 06026-9763
(860) 452-3506
Mailing address
5 LINDSAY LN, BROAD BROOK, CT 06016-9786
(860) 652-5896
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
10955
CT
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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