Individual
JULIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 OLD SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075-3082
(615) 824-0720
Mailing address
3738 GREGORY RD, SPRINGFIELD, TN 37172-6189
(615) 389-3348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000001101
TN
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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