Individual provider · NPI-1

Sheila Denise Davis, COTA

Occupational Therapy Assistant · Merrillville, IN

NPI number1316569379
StatusActive
Last updated in NPPESMay 13, 2020

Details

NPI
1316569379
Entity type
Individual (NPI-1)
Name
Sheila Denise Davis
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 13, 2020
Certification date
May 13, 2020
Last updated
May 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057004935ILYes

Practice location

2921 W 61st Pl Apt 2g
Merrillville, IN 46410-2260

Phone 219-613-2362

Mailing address

303 W 80th Pl # 11484
Merrillville, IN 46410-5433

Phone 219-613-2362

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapy Assistant providers in Merrillville, IN