Individual
MR. BRIAN JAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
3001 MOCKINGBIRD LN, VICTORIA, TX 77904-2438
(361) 578-7611
Mailing address
411 BEDIVERE DR, VICTORIA, TX 77904-1846
(361) 576-4768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208352
TX
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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