MISS Jenna Anne Davis, PT

NPI #1184371064 in Granite City, Illinois

Provider Information

NPI Number: 1184371064
Entity Type: Individual
Name: MISS Jenna Anne Davis, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 9, 2022
Last Updated: Mar 9, 2022

Practice Location

Address: 1503 LINDELL BLVD
City: Granite City
State: Illinois
ZIP Code: 62040-3837
Phone: (618) 709-4125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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