Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(542) 426-5314
Mailing address
5301 PROVIDENCE RD, SUITE 80, VIRGINIA BEACH, VA 23464-4128
(757) 467-1900
(757) 467-7900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204280
VA
225100000X
Physical Therapist
Primary
2634
OR
Other
Enumeration date
04/11/2012
Last updated
04/14/2026
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