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NPI Code Detail

MEDICARE: GREGORY K DAVIS PT

MEDICARE: GREGORY K DAVIS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT08038LPA

General Provider Information

NPI Number : 1861492159
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY K DAVIS PT
Provider Business Mailing Address
First Line : 2300 TRENTON RD
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-1423
Country : US
Telephone Number : 215-343-3300
Fax Number : 215-943-6330
Provider Business Practice Location Address
First Line : 2300 TRENTON RD
Second Line :
City : LEVITTOWN
State : PA
Zip : 19056-1423
Country : US
Telephone Number : 215-343-3300
Fax Number : 215-943-6330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 03/11/2014

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