Active NPIIndividual provider

Jaclyn M Davis, OTR/L

Occupational Therapist, Physical Rehabilitation in Bridgeport, Connecticut

NPI Number1194238717
Practice location
267 Grant St, Bridgeport, CT 06610-2805
Fax
—
Last updated
November 6, 2017

Jaclyn Marie Davis is an Occupational Therapist, Physical Rehabilitation based in Bridgeport, CT. Jaclyn Marie Davis practices in Bridgeport, CT and has the professional credentials of OTR/L. The NPI Number for Jaclyn Marie Davis is 1194238717 and holds a License No. 48.004771 (CT). The current practice location address for Jaclyn Marie Davis is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-3000.

Provider Profile Details

NPI Number
1194238717
Provider Name
Jaclyn Marie Davis
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT 06610-2805
Phone Number
203-384-3000
Sole Proprietor
No
Provider Enumeration Date
November 6, 2017
Last Update Date
November 6, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
Zip
06610-2805
Phone Number
203-384-3000
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
200 Evergreen Ave Apt 8B
Hamden, CT 06518-2725
City
Hamden
State
CT
Zip
06518-2725
Phone Number
203-506-2321

License Information

License Number
48.004771
License State
CT
Taxonomy
Occupational Therapist, Physical Rehabilitation · 225XP0019X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn M Davis, OTR/L?

The NPI number of Jaclyn M Davis, OTR/L is 1194238717. It was assigned on November 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Jaclyn M Davis, OTR/L?

Jaclyn M Davis, OTR/L is registered under the primary taxonomy Occupational Therapist, Physical Rehabilitation (code 225XP0019X), licensed in CT under license number 48.004771.

Where does Jaclyn M Davis, OTR/L practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-384-3000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194238717 directly on the NPPES registry website.

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