Individual
KERIANN D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Mailing address
8777 PURDUE RD, SUITE 330, INDIANAPOLIS, IN 46268-3125
(800) 603-4046
(317) 884-3388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2964
SC
224Z00000X
Occupational Therapy Assistant
Primary
32002591A
IN
Other
Enumeration date
05/15/2013
Last updated
11/20/2014
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