Provider Demographics
NPI:1528398732
Name:ABELL-DAVIS, JENNIFER REBECCA (BS, DPT, MT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:REBECCA
Last Name:ABELL-DAVIS
Suffix:
Gender:F
Credentials:BS, DPT, MT
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4822 CYPRESS ST
Mailing Address - Street 2:APT A
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-9337
Mailing Address - Country:US
Mailing Address - Phone:619-806-2120
Mailing Address - Fax:
Practice Address - Street 1:4822 CYPRESS ST
Practice Address - Street 2:APT A
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-9337
Practice Address - Country:US
Practice Address - Phone:619-806-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist