Individual
BRIAN M. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT OTR/L
Contact information
Practice address
41 PINELAND DR, SUITE 200, NEW GLOUCESTER, ME 04260-5111
(207) 688-2253
(207) 688-4561
Mailing address
41 PINELAND DR, SUITE 200, NEW GLOUCESTER, ME 04260-5111
(207) 688-2253
(207) 688-4561
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TO2428
ME
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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