Individual
JAKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2191 POST RD, WARWICK, RI 02886-1509
(401) 681-4885
(401) 681-4888
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02297
RI
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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