Individual
MRS. JENNIFER FAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
7340 STATE ROAD 39, MARTINSVILLE, IN 46151-9551
(317) 640-2650
Mailing address
7340 STATE ROAD 39, MARTINSVILLE, IN 46151-9551
(317) 640-2650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003211A
IN
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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