Individual
ODIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8400 SUNSET BLVD APT 7304, ROWLETT, TX 75088-1272
(469) 925-8575
Mailing address
8400 SUNSET BLVD APT 7304, ROWLETT, TX 75088-1272
(469) 925-8575
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216034
TX
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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