Mrs Charity Sue Davis, OTR/L | |
3476 W 4600 S, West Haven, UT 84401-9203 | |
(801) 689-0200 | |
(801) 689-0201 |
Full Name | Mrs Charity Sue Davis |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3476 W 4600 S, West Haven, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720018294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4770445-4201 (Utah) | Primary |
Provider Name | Utah Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487998431 PECOS PAC ID: 2163676735 Enrollment ID: O20130206000588 |
Mailing Address | Practice Location Address |
---|---|
Mrs Charity Sue Davis, OTR/L Po Box 66, Hooper, UT 84315-0066 Ph: (801) 689-0200 | Mrs Charity Sue Davis, OTR/L 3476 W 4600 S, West Haven, UT 84401-9203 Ph: (801) 689-0200 |
Kidworks Ot Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 S 3650 W, West Haven, UT 84401 Phone: 801-600-7068 | |
Home Freedom Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3448 S 5100 W, West Haven, UT 84401 Phone: 801-814-3303 | |
Haley Brock, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2639 W 3520 S, West Haven, UT 84401 Phone: 801-732-5290 |