NPI 1245674969

Jessica Lynn Davis, PTA

Practitioner Physical Therapy Assistant Lanham, MD

Practice location

Address: 8200 Good Luck Rd, Lanham, MD 20706-3511
Phone: (301) 552-2000
Mailing address: 8420 Park Rd, Pasadena, MD 21122-2957

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A3314 (MD)

Other Physical Therapy Assistant providers in Maryland →

Registry record

NPI: 1245674969
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2013
Record last updated: 24 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.