Individual
JAMES E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13729
STATE OF CALIFORNIA
CA
01
—
4120
ARIZONA LICENSE
AZ
01
—
CA138726
MEDICARE PTAN
CA
Enumeration date
05/13/2008
Last updated
02/20/2015
Update your record
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