Individual
MRS. BRANDY L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 BLUE SKY DR, GLASGOW, KY 42141-7607
(270) 361-8563
Mailing address
135 BLUE SKY DR, GLASGOW, KY 42141-7607
(270) 361-8563
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
201174935
KY
Other
Enumeration date
04/19/2023
Last updated
08/07/2023
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