Individual
MS. JEANNIE ANN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA - CSMT
Contact information
Practice address
13939 E 14TH ST, SAN LEANDRO, CA 94578-2613
(510) 343-8300
(510) 343-8302
Mailing address
6204 JARVIS AVE, NEWARK, CA 94560-1213
(510) 710-1122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3096
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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