National Provider Identifier Database

RUSSELL E DAVIS III, OTR/L – NPI #1265492938
Hand


Contact Information

RUSSELL E DAVIS III, OTR/L
1341 MEDICAL PARK DR
MELBOURNE, FL32901-3235
Phone: 321-728-7418
Fax: 321-728-7403
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for RUSSELL E DAVIS III

NPI Number 1265492938
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 03/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: OT7148
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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