Doctor Name: | SHONDRA DAVIS |
NPI Number: | 1134574270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 58766 |
Business Practice Address: | 400 Veteran Ave Biloxi, MS - 39531 |
Business Phone Number: | 2285235000 |
Business Fax Number: | |
Mailing Address: | 400 Veteran Ave, BILOXI |
State: | MS |
Postal Code: | 39531 |
Phone Number: | 2285235000 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2016 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225800000X |
License Number: | 58766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Recreation Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |