Jaclyn Marie Davis
Occupational Therapist - Physical Rehabilitation
267 Grant St
Bridgeport
, Connecticut 06610-2805
Jaclyn Marie Davis
Occupational Therapist - Physical Rehabilitation
267 Grant St
Bridgeport
, Connecticut 06610-2805
(203) 506-2321
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Jaclyn Marie Davis
- 200 Evergreen Ave Apt 8b
- Hamden, CT
- Zip : 06518-2725
- Phone : (203) 506-2321
Second Address
- Jaclyn Marie Davis
- 267 Grant St
- Bridgeport, CT
- Zip : 06610-2805
- Phone : (203) 384-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 48.004771 | CT |
National Provider Identifier
| NPI | 1194238717 |
|---|---|
| Provider Name | Jaclyn Marie Davis |
| First Address | Hamden, CT 06518-2725 |
| Second Address | Bridgeport, CT 06610-2805 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2017 |
| Last Update Date | 06/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.