Doctor Name: | MRS. MALAIKA DAVIS |
NPI Number: | 1043494487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | OT004563 |
Business Practice Address: | 670 S 8th St Griffin, GA - 302244214 |
Business Phone Number: | 7702296498 |
Business Fax Number: | 7702296958 |
Mailing Address: | Po Box V, GRIFFIN |
State: | GA |
Postal Code: | 302240047 |
Phone Number: | 7702296498 |
Fax Number: | 7702296958 |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT004563 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |