Individual
MS. KIARA ANTOINETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1325 MCINGVALE RD, HERNANDO, MS 38632-1013
(662) 429-2070
Mailing address
456A COUNTY ROAD 601, GUNTOWN, MS 38849-3337
(662) 255-2117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4013
MS
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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