Individual
DAVID DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT, CHT
Contact information
Practice address
414 N PLANT AVE, PLANT CITY, FL 33563-7248
(813) 478-9665
Mailing address
414 N PLANT AVE, PLANT CITY, FL 33563-7248
(813) 478-9665
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT5386
FL
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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