NPI 1225885437

Gabrielle Grace Davis, COTAL

Practitioner Occupational Therapy Assistant Southaven, MS

Practice location

Address: 1130 Stateline Rd E STE D, Southaven, MS 38671-8701
Phone: (662) 536-6884
Fax: (662) 510-5892

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA3999 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1225885437
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2024
Record last updated: 4 May 2024

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.