Individual
FREDDIE T. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
175 BURDETTE ST, SPARTANBURG, SC 29307-1003
(864) 596-8491
(864) 596-8495
Mailing address
PO BOX 970, SPARTANBURG, SC 29304-0970
(864) 596-8491
(864) 596-8495
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3109
SC
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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