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Individual

MR. CODY AUSTIN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
Mailing address
3340 PEBBLE BEACH RD APT 8, CONWAY, AR 72034-8755
(501) 889-8694

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3804
AR

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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