Individual
JOSHUA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 CLARK AVE, WEATHERFORD, TX 76085-3628
(940) 682-6144
Mailing address
PO BOX 542, FORT DEFIANCE, AZ 86504-0542
(940) 682-6144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122369
TX
Other
Enumeration date
06/28/2015
Last updated
12/28/2023
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