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Individual

MRS. SHEILA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMBT, COTA

Contact information

Practice address
1540 E ARLINGTON BLVD, GREENVILLE, NC 27858-5870
(252) 364-2806
(252) 364-2863
Mailing address
1540 E ARLINGTON BLVD, GREENVILLE, NC 27858-5870
(252) 364-2806
(252) 364-2863

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
9644
NC
225700000X
Massage Therapist
Primary
05278
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
06/29/2017
Last updated
07/21/2022
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