Jayne Lewis Davidow, PT
Contractor in Roswell, GA. Individual provider (NPI-1).
NPI number1639375280
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1639375280
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jayne Lewis Davidow
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | PT000990 | GA | Yes |
Practice location
1335 Lake Charles DrRoswell, GA 30075-2849
Phone 770-587-0516
Mailing address
1335 Lake Charles DrRoswell, GA 30075-2849
Phone 770-587-0516 · Fax 770-587-0516
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