Individual
JENNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2400 MARYLAND RD, WILLOW GROVE, PA 19090-1700
(484) 370-3859
Mailing address
251 ABRAMS RD, KING OF PRUSSIA, PA 19406-1747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005369
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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