Provider Demographics
NPI:1700295482
Name:DAVIS, AARON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3619
Mailing Address - Country:US
Mailing Address - Phone:410-659-5993
Mailing Address - Fax:410-659-5993
Practice Address - Street 1:210 E CENTRE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3619
Practice Address - Country:US
Practice Address - Phone:410-659-5993
Practice Address - Fax:410-659-5993
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25109225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist