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ELLEN C DAVIS

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1053465179

Individual Registrant:
 ELLEN C DAVIS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
205 SOUTH ST E  TALLADEGA, AL 35160-2411 US
Tel: 256-761-3303  Fax: 256-761-3485

Contact information for business:
205 SOUTH ST E  TALLADEGA, AL 35160-2411 US
Tel: 256-761-3303  Fax: 256-761-3485

Registration Information:
NPI: 1053465179
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AL1906

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS PROVIDER NUMBER51534467AL01




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