Russell Emmett Davis III
Occupational Therapist - Hand
1341 Medical Park Dr
Melbourne
, Florida 32901-3235
Russell Emmett Davis III
Occupational Therapist - Hand
1341 Medical Park Dr
Melbourne
, Florida 32901-3235
(321) 449-0894
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Russell Emmett Davis III
- 108 Tequesta Harbor Dr
- Merritt Island, FL
- Zip : 32952-7107
- Fax : (321) 449-0894
- Phone : (321) 449-0894
Second Address
- Russell Emmett Davis III
- 1341 Medical Park Dr
- Melbourne, FL
- Zip : 32901-3235
- Fax : (321) 728-7403
- Phone : (321) 728-7418
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | OT7148 | FL |
National Provider Identifier
| NPI | 1265492938 |
|---|---|
| Provider Name | Russell Emmett Davis III |
| First Address | Merritt Island, FL 32952-7107 |
| Second Address | Melbourne, FL 32901-3235 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.