Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANTLEY WARREN DAVIS, COTA
Active Sole ProprietorBRANTLEY WARREN DAVIS, COTA is a Occupational Therapy Assistant healthcare provider located in SUMRALL, Mississippi. NPI 1003191461 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SUMRALL, MS
Registration Details
- NPI Number
- 1003191461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2011 (14.783598076837 yrs)
- Last Updated
- Oct 18, 2011
- License
-
211203 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 N MILL STSUMRALL, MS, 394824035Browse MS providers · Browse ZIP 39482
- Phone
- 6014669638
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.