Jennifer Fawn Davis, MSOTR

Individual provider Active NPI Occupational Therapist · Martinsville, IN

NPI 1245087899 · NPPES record last updated May 1, 2024

Key facts

NPI
1245087899
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
31003211A (IN)
Practice address
7340 State Road 39
Martinsville, IN 46151-9551
Phone
(317) 640-2650
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31003211AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31003211A IN Yes

Addresses

Primary practice location

7340 State Road 39
Martinsville, IN 46151-9551

Mailing address

7340 State Road 39
Martinsville, IN 46151-9551
Phone (317) 640-2650

Other providers in Martinsville, IN

All providers in Martinsville, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.