Brantley Warren Davis, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Sumrall, MS

NPI

1003191461

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

211203 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-10-18

Last updated

2011-10-18