Individual
GARRETT DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 VETERANS AVE BLDG 14, BILOXI, MS 39531-2410
(228) 385-6786
Mailing address
400 VETERANS AVE BLDG 14, BILOXI, MS 39531-2410
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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