Individual
KELSEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4565 COMMERCIAL DR, NICEVILLE, FL 32578-8818
(850) 353-2415
Mailing address
5505 JAYBIRD LN, BAKER, FL 32531-8498
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
OT22620
FL
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/04/2022
Last updated
10/29/2024
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