Individual
SHANILLE CLARKE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA, RN
Contact information
Practice address
20018 SILVER MESIA CIR, CYPRESS, TX 77433-6805
(954) 608-5636
Mailing address
20018 SILVER MESIA CIR, CYPRESS, TX 77433-6805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1116933
TX
163WP0200X
Pediatric Registered Nurse
1116933
TX
171M00000X
Case Manager/Care Coordinator
Primary
1116933
TX
224Z00000X
Occupational Therapy Assistant
214385
TX
251B00000X
Case Management Agency
1116933
TX
Other
Enumeration date
08/28/2018
Last updated
05/27/2025
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