Individual
JONATHAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2000 BUCKEYE LOOP RD, WINTER HAVEN, FL 33881-2767
(863) 325-6506
Mailing address
2000 BUCKEYE LOOP RD, WINTER HAVEN, FL 33881-2767
(863) 325-6506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27382
FL
225200000X
Physical Therapy Assistant
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—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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