Individual
BRETT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
15930 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1155
(586) 286-9644
Mailing address
22630 LAKECREST ST, SAINT CLAIR SHORES, MI 48081-2484
(770) 842-7197
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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