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Individual

JACOB DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 APPLEWOOD DR, FREEHOLD, NJ 07728-3985
(732) 513-9384
Mailing address
311 AMBIANCE BLVD, FREEHOLD, NJ 07728-8896
(732) 513-9384

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01249000
NJ

Other

Enumeration date
12/16/2021
Last updated
11/26/2025
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