Individual
MR. JACOB RYAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
350 RADIO PARK DR STE 1, RICHMOND, KY 40475
(859) 625-5986
(859) 625-5987
Mailing address
350 RADIO PARK DR STE 1, RICHMOND, KY 40475-2998
(937) 478-2350
(859) 625-5987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
244835
KY
Other
Enumeration date
12/17/2018
Last updated
11/26/2019
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