MISTY DELAINE DAVIS

KENNESAW, GA
NPI1407923048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT003187)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Mrs. MISTY DELAINE DAVIS OTR
2015 VAUGHN RD NW SUITE 130
KENNESAW, GA 30144-7801
Phone number: 770-425-6661
Mailing Address
Mrs. MISTY DELAINE DAVIS OTR
80 MOUNT TABOR CT
DALLAS, GA 30157-7133
Phone number: 678-343-3380
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