Davis, Jennifer

Davis, Jennifer is an individual health care provider with primary practice located at 100 Butler Dr , Providence RI 02906-4862. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davis, Jennifer can be contacted via phone (401) 330-1428.

Contact Information

Primary practice address
100 Butler Dr Providence RI 02906-4862
Phone: (401) 330-1428
Fax: (401) 626-3851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT01657 Rhode Island

Profile Details

NPI number 1447202015
LBN Legal business name Davis, Jennifer
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447202015 NPPES
Rhode Island Other 409035 BLUECHIP RI IND. ID #

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