Individual
MRS. JENNIFER L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
104 OXFORD ST, MARTIN, TN 38237-2428
(731) 587-3422
(731) 587-3424
Mailing address
104 OXFORD ST, MARTIN, TN 38237-2428
(731) 587-3422
(731) 587-3424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000000524
TN
Other
Enumeration date
08/29/2008
Last updated
09/05/2019
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