Brantley Warren Davis, COTA
NPI #1003191461 in Sumrall, Mississippi
Provider Information
- NPI Number
- 1003191461
- Entity Type
- Individual
- Name
- Brantley Warren Davis, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Oct 18, 2011
- Last Updated
- Oct 18, 2011
Practice Location
- Address
- 19 N MILL ST
- City
- Sumrall
- State
- Mississippi
- ZIP Code
- 39482-4035
- Phone
- (601) 466-9638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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