Individual
BRENDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E MACPHAIL RD, BEL AIR, MD 21014-4410
(410) 879-1120
Mailing address
519 KINGS HWY APT A, MICKLETON, NJ 08056-1413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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