Julius Davis, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Tega Cay, SC
NPI 1275009474 · NPPES record last updated Oct 16, 2018
Key facts
- NPI
- 1275009474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4870 (SC)
- Practice address
- 111 Wellmore Dr
Tega Cay, SC 29708-0124 - Phone
- (803) 835-7059
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4870 | SC | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4870 | SC | Yes |
Addresses
Primary practice location
111 Wellmore Dr
Tega Cay, SC 29708-0124
Mailing address
111 Wellmore Dr
Tega Cay, SC 29708-0124
Phone (803) 835-7059
Other providers in Tega Cay, SC
- Julia E Correal
- Sonya Monique Counts Martin
- Editha Cygan
- Kimberly D'Amore
- Maria Fernanda Dasilva
- Derrick Alfred Dempsey
- Dr. Richard-James M. Hansen & Associates (Fort Mill), P.C.
- Elizabeth Anne Duhamel
- Tina Davis Easterling
- Eelio
All providers in Tega Cay, SC · Occupational Therapy Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.