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Individual

DEREK WATKINS DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
9035 BRYAN DAIRY RD, LARGO, FL 33777-1104
(727) 395-9619
Mailing address
12136 KAY DR, SEMINOLE, FL 33772-2600
(740) 550-1722

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11584
FL

Other

Enumeration date
01/15/2012
Last updated
01/15/2012
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