Individual
JAMIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S 29TH ST, FORT PIERCE, FL 34947-3626
(772) 465-7560
Mailing address
437 SE THORNHILL DR, PORT ST LUCIE, FL 34983-3741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21608
FL
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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