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NPI Code Detail

MEDICARE: MRS. JENNIFER L DAVIS OTR

MEDICARE: MRS. JENNIFER L DAVIS OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT0000000524TN

General Provider Information

NPI Number : 1841448099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER L DAVIS OTR
Provider Business Mailing Address
First Line : 104 OXFORD ST
Second Line :
City : MARTIN
State : TN
Zip : 38237-2428
Country : US
Telephone Number : 731-587-3422
Fax Number : 731-587-3424
Provider Business Practice Location Address
First Line : 104 OXFORD ST
Second Line :
City : MARTIN
State : TN
Zip : 38237-2428
Country : US
Telephone Number : 731-587-3422
Fax Number : 731-587-3424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 09/05/2019

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Directions to “ MRS. JENNIFER L DAVIS OTR” Practice Location

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