Individual
TARAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT001029
Contact information
Practice address
1200 LAKE HEARN DR NE, SUITE 250, ATLANTA, GA 30319-1415
(404) 943-1070
(404) 943-0890
Mailing address
4460 CELEBRATION DR SW, ATLANTA, GA 30331-6370
(404) 699-2886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT001029
—
GA
Enumeration date
10/17/2006
Last updated
07/08/2007
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