Gwendolyn Davis
Individual provider Active NPI Occupational Therapist · Pulaski, TN
NPI 1750829941 · NPPES record last updated Feb 7, 2017
Key facts
- NPI
- 1750829941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4563 (TN)
- Practice address
- 993 E College St
Pulaski, TN 38478-4432 - Phone
- (931) 363-3572
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- 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 |
|---|---|---|---|
| 4563 | TN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4563 | TN | Yes |
Addresses
Primary practice location
993 E College St
Pulaski, TN 38478-4432
Mailing address
570 Shady LN
Pulaski, TN 38478-7402
Phone (937) 459-2064
Other providers in Pulaski, TN
- Samantha Roper Cox
- Abigail Grace Cozart
- Charlotte L Daniels
- Thomas David Daniels
- Devonna Davis
- Hannah Davis
- Holly Camille Davis
- Robyn Alexis Davis
- Della Mae Deventuri
- Dialysis Associates, LLC
All providers in Pulaski, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2017. 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.