Rebecca Evelyn Davis

Individual provider Active NPI Occupational Therapy Assistant · Carthage, TX

NPI 1245797828 · NPPES record last updated Mar 1, 2019

Key facts

NPI
1245797828
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
209899 (TX)
Practice address
715 S Market St
Carthage, TX 75633-3007
Phone
(903) 263-3571
NPI assigned
Mar 1, 2019
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
209899TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 209899 TX Yes

Addresses

Primary practice location

715 S Market St
Carthage, TX 75633-3007

Mailing address

PO Box 648
Beckville, TX 75631-0648
Phone (903) 263-3571

Other providers in Carthage, TX

All providers in Carthage, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.