Sally Jean Davis
Occupational Therapist - Gerontology
1201 Holland Lake Dr
Weatherford
, Texas 76086-5851
Sally Jean Davis
Occupational Therapist - Gerontology
1201 Holland Lake Dr
Weatherford
, Texas 76086-5851
(817) 223-9544
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Sally Jean Davis
- 2813 Weber St
- Fort Worth, TX
- Zip : 76106-7340
- Phone : (817) 223-9544
Second Address
- Sally Jean Davis
- 1201 Holland Lake Dr
- Weatherford, TX
- Zip : 76086-5851
- Phone : (817) 598-0162
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 109461 | TX |
National Provider Identifier
| NPI | 1386126027 |
|---|---|
| Provider Name | Sally Jean Davis |
| First Address | Fort Worth, TX 76106-7340 |
| Second Address | Weatherford, TX 76086-5851 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2018 |
| Last Update Date | 29/08/2018 |
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.