Individual
JUSTIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1719 CHAPEL TREE CIR, BRANDON, FL 33511-9326
(305) 490-1310
Mailing address
3047 NW 52ND ST, MIAMI, FL 33142-3466
(305) 490-1310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15614
FL
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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