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Individual

BRENDA K DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
5601 BRIDGE ST STE 500, FORT WORTH, TX 76112-2352
(817) 457-9850
Mailing address
2228 BIG BEND DR, CARROLLTON, TX 75007-5802
(972) 418-8037

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
101846
TX

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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