Individual
KAYLEE NICOLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1406 WINTER DR, LEBANON, TN 37087-2530
(615) 444-4343
Mailing address
4012 HORN SPRINGS RD, LEBANON, TN 37087-1987
(615) 881-2509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7087
TN
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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