Miss Nicole Jeanette Davis, OTR is a
Occupational Therapist based in Goodrich, Michigan. Miss Nicole Jeanette Davis is licensed to practice in Michigan (license number L1360077) and her current practice location is
11310 Horton Rd, Goodrich, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 561-5130.
NPI number for Miss Nicole Jeanette Davis is 1518107648 and her current mailing address is 11310 Horton Rd, Goodrich, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518107648.
Healthcare Provider's Profile
Full Name | Miss Nicole Jeanette Davis |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 11310 Horton Rd, Goodrich, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518107648
- Provider Enumeration Date: 03/02/2009
- Last Update Date: 03/02/2009
Medical Identifiers
Medical identifiers for Miss Nicole Jeanette Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518107648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | L1360077 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Nicole Jeanette Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Nicole Jeanette Davis, OTR 11310 Horton Rd, Goodrich, MI 48438-9497 Ph: (248) 561-5130 | Miss Nicole Jeanette Davis, OTR 11310 Horton Rd, Goodrich, MI 48438-9497 Ph: (248) 561-5130 |
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