Jonathan Davis, PTA
Physical Therapy Assistant in Winter Haven, FL. Individual provider (NPI-1).
NPI number1770192007
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1770192007
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Davis
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2020
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 27382 | FL | Yes |
| 225200000X | Physical Therapy Assistant | – | – |
Practice location
2000 Buckeye Loop RdWinter Haven, FL 33881-2767
Phone 863-325-6506
Mailing address
2000 Buckeye Loop RdWinter Haven, FL 33881-2767
Phone 863-325-6506
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All 45 Physical Therapy Assistant providers in Winter Haven · All 2,525 providers in Winter Haven
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