Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61570 LUCIA ST UNIT 1, BEND, OR 97702-8130
(401) 441-0742
Mailing address
61570 LUCIA ST UNIT 1, BEND, OR 97702-8130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23021
MA
225100000X
Physical Therapist
Primary
62950
OR
Other
Enumeration date
07/28/2017
Last updated
01/17/2025
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