| NPI | 1295289783 |
|---|---|
| Other Name | JORDAN NICOLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291846) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2020-03-16 |