Healthcare Provider Details

I. General information

NPI: 1962295626
Provider Name (Legal Business Name): GROWTH FOR KIDS, LLC DBA KAREN DAVIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 99TH AVE N
NAPLES FL
34108-2234
US

IV. Provider business mailing address

25204 CALUSA DR
PUNTA GORDA FL
33955-4068
US

V. Phone/Fax

Practice location:
  • Phone: 239-392-1070
  • Fax: 800-403-2990
Mailing address:
  • Phone: 239-560-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN DAVIS
Title or Position: OCCUPATIONAL THERAPIST
Credential:
Phone: 239-560-3392