FREDDIE T. DAVIS COTA/L NPI 1992170203

NPI Information

Freddie T. Davis, COTA/L is a student in an organized health care education training program in Spartanburg, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Freddie T. Davis, COTA/L NPI is 1992170203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 BURDETTE ST
SPARTANBURG, SC
ZIP 29307-003
Phone: (864) 596-8491
Fax: (864) 596-8495

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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