MEDICARE: JOSHUA DAVIS

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
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1891356986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA DAVIS

Provider Business Mailing Address
First Line	:	3430 BURNET AVE
Second Line	:	4007
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5899 HARRISON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-1651
Country	:	US
Telephone Number	:	419-205-2118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2019
Last Update Date	:	06/27/2019

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Directions to “ JOSHUA DAVIS ” Practice Location

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