Garrett Davenport

NPI #1225789043 in Biloxi, Mississippi

Provider Information

NPI Number: 1225789043
Entity Type: Individual
Name: Garrett Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Jan 13, 2022
Last Updated: Jan 13, 2022

Practice Location

Address: 400 VETERANS AVE BLDG 14
City: Biloxi
State: Mississippi
ZIP Code: 39531-2410
Phone: (228) 385-6786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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