Individual
JONATHAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15300 E WEST RD, MIDLOTHIAN, VA 23114-3372
(804) 320-4064
(804) 320-4052
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217757
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305217757
VA
Other
Enumeration date
05/28/2026
Last updated
07/07/2026
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