Individual
GRAEME DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
23816 BIRCH LN, LEWES, DE 19958-5341
(302) 490-7858
Mailing address
PO BOX 1288, REHOBOTH BEACH, DE 19971-1288
(302) 490-7858
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
46TA09023600
NJ
163WR0400X
Rehabilitation Registered Nurse
U2-1125
DE
Other
Enumeration date
03/29/2016
Last updated
06/22/2023
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