Individual
KELSEY ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13825 HUNTON LN, HUNTERSVILLE, NC 28078-6190
(704) 897-2700
Mailing address
18623 VICTORIA BAY DR, CORNELIUS, NC 28031-5541
(770) 314-4424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8476
NC
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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