Individual
KAYLIN MELISSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5344 PLANTATION HOME WAY, PORT ORANGE, FL 32128-7529
(386) 451-3243
Mailing address
5344 PLANTATION HOME WAY, PORT ORANGE, FL 32128-7529
(386) 451-3243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19560
FL
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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