BRANTLEY DAVIS, COTA

Occupational Therapy Assistant

Active Individual
NPI: 1003191461

Practice Address

19 N MILL ST
Sumrall, MS 39482

Phone: (601) 466-9638

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 211203 (TX)

Frequently Asked Questions

NPI 1003191461 is the National Provider Identifier for BRANTLEY DAVIS, COTA, a Occupational Therapy Assistant provider located in Sumrall, MS. This NPI was enumerated on October 18, 2011.
BRANTLEY DAVIS, COTA practices at 19 N MILL ST, Sumrall, MS 39482.

Quick Facts

NPI
1003191461
Type
Individual
Enumerated
Oct 18, 2011
Last Updated
Oct 18, 2011

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