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1255912978
TANNER DAVIS
CHARLESTON, SC
NPI
1255912978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 447202)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
TANNER DAVIS COTA
1849 CAPRI DR
CHARLESTON, SC 29407-7603
Phone number: 843-270-8505
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Mailing Address
TANNER DAVIS COTA
1211 COLFAX CT
MT PLEASANT, SC 29466-7946
Phone number: 843-303-0726
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