Individual
MR. GARRETT DELLWOOD DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
10301 CHRISTIE RD NE, CUMBERLAND, MD 21502-8326
(301) 724-1400
Mailing address
1721 BEDFORD ST, CUMBERLAND, MD 21502-1011
(301) 777-8071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01499
MD
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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