JASON MICAH DAVENPORT

SIMPSONVILLE, SC
NPI1710298161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  6200)
Enumeration Date2010-06-30
Last Update Date2014-06-25
Business Address
-- JASON MICAH DAVENPORT PT
727 SE MAIN ST STE 200
SIMPSONVILLE, SC 29681-3247
Phone number: 864-454-6670
Mailing Address
-- JASON MICAH DAVENPORT PT
103 N MAIN ST STE 300
GREENVILLE, SC 29601-2796
Phone number: 864-528-5700
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