Individual
MRS. CATHY J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
910 WEST SUMMER STREET, GREENEVILLE, TN 37743
(423) 639-4194
Mailing address
295 GREY LN, GREENEVILLE, TN 37743
(423) 741-6723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AA42148
TN
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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