National Provider Identifier
Jacqueline Sarah Davidson, PT, DPT
Jacqueline Sarah Davidson, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 898-0681.
Profile Overview
- NPI
- 1174982508
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 13, 2016
- Last Updated
- March 14, 2017
Practice Location
- 833 Michigan Ave.
- 3Rd Floor
- Buffalo, NY 14203
Phone: (716) 898-0681
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1174982508
- Entity Type
- Individual
- Last Name
- Davidson
- First Name
- Jacqueline
- Middle Name
- Sarah
- Credential
- PT, DPT
- Provider Other Last Name
- Davidson
- Provider Other First Name
- Jacqueline
- Provider Other Middle Name
- S
- Provider Other Credential Text
- PT, DPT
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 833 Michigan Ave.
- Mailing Address Line 2
- 3Rd Floor
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203
- Mailing Country
- US
- Mailing Phone
- (716) 898-0681
- Mailing Fax
- (716) 898-0681
- Practice Street Address
- 833 Michigan Ave.
- Practice Address Line 2
- 3Rd Floor
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 898-0681
- Practice Fax
- (716) 898-0681
- Enumeration Date
- February 13, 2016
- Last Updated
- March 14, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)