NPI 1003191461

Brantley Warren Davis, COTA

Practitioner Occupational Therapy Assistant Sumrall, MS

Practice location

Address: 19 N Mill St, Sumrall, MS 39482-4035
Phone: (601) 466-9638

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 211203 (TX)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1003191461
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2011
Record last updated: 18 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.