Individual
MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
103 WINDSOR PATH, SUITE 4, GEORGETOWN, KY 40324-9610
(502) 863-3870
(502) 863-1287
Mailing address
103 WINDSOR PATH, SUITE 4, GEORGETOWN, KY 40324-9610
(502) 863-3870
(502) 863-1287
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
BOTOCT00222802
KY
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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