| Doctor Name: | JEFFREY D'AVY |
| NPI Number: | 1639338536 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 22231 |
| Business Practice Address: | 8118 Good Luck Rd Lanham, MD - 207063574 |
| Business Phone Number: | 3015528152 |
| Business Fax Number: | 3015527900 |
| Mailing Address: | 7404 Executive Pl, #300b LANHAM |
| State: | MD |
| Postal Code: | 207062268 |
| Phone Number: | 3015999500 |
| Fax Number: | 3018567685 |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 22231 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |