Individual provider · Type 1 NPI

Freddie T. Davis, COTA/L

Student in an Organized Health Care Education/Training Program · Spartanburg, SC

NPI number 1992170203 Active

Practice location

175 Burdette St
Spartanburg, SC 29307-1003

Call (864) 596-8491 Map

Fax (864) 596-8495

Mailing address

PO Box 970
Spartanburg, SC 29304-0970

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3109 (SC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1992170203

Freddie T. Davis, COTA/L's National Provider Identifier is 1992170203, issued on Dec 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spartanburg, SC. The record was last updated on Dec 11, 2015.