Individual
CASEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
(270) 821-5564
Mailing address
324 BROWN RD, MADISONVILLE, KY 42431-2201
(270) 339-8114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
136185
KY
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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