Organization
DAVIS PHYSICAL THERAPY P.A.
Active
Organization
DAVIS PHYSICAL THERAPY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN T DAVIS P.T (CEO)
(904) 287-9969
Entity
Organization
Contact information
Practice address
7685 103RD ST, SUITE 1, JACKSONVILLE, FL 32210-9325
(904) 771-1116
Mailing address
227 TADCASTER CT, SAINT JOHNS, FL 32259-7256
(904) 287-9969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992771851
NPI
FL
Enumeration date
11/28/2014
Last updated
11/28/2014
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