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Individual

CANDACE C DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
930 20TH ST S, SUITE 101, BIRMINGHAM, AL 35205-2610
(205) 934-5471
(205) 975-2380
Mailing address
1530 3RD AVE S, CH19 307, BIRMINGHAM, AL 35294-2041
(205) 934-5471
(206) 975-2380

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3148
AL

Other

Enumeration date
04/16/2010
Last updated
04/16/2010
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