Individual provider · Type 1 NPI

Samuel Davis

Developmental Therapist · Kissimmee, FL

NPI number 1740576164 Active

Practice location

1200 N Central Ave Ste 212
Kissimmee, FL 34741-4440

Mailing address

3327 Jujube Dr
Orlando, FL 32810-2980

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1740576164

Samuel Davis's National Provider Identifier is 1740576164, issued on Jun 23, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Kissimmee, FL. The record was last updated on Jun 23, 2011.