Samantha Davis
Occupational Therapy Assistant in Weatherford, TX. Individual provider (NPI-1).
NPI number1922633221
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1922633221
- Entity type
- Individual (NPI-1)
- Name
- Samantha Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2020
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
208 N Main St Ste 130Weatherford, TX 76086-3267
Phone 817-662-7800
Mailing address
208 N Main St Ste 130Weatherford, TX 76086-3267
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