Individual
AUNDREA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2255 CANDIES LN NW, CLEVELAND, TN 37312-2661
(423) 472-4700
Mailing address
518 LIVE OAK RD, RINGGOLD, GA 30736-3195
(423) 987-9737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1441
TN
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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