Mrs Jennifer L Davis, OTR | |
104 Oxford St, Martin, TN 38237-2428 | |
(731) 587-3422 | |
(731) 587-3424 |
Full Name | Mrs Jennifer L Davis |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 104 Oxford St, Martin, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841448099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT0000000524 (Tennessee) | Primary |
Provider Name | The Sideline Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386703395 PECOS PAC ID: 4789678665 Enrollment ID: O20040413001115 |
Provider Name | Dynamix Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer L Davis, OTR 104 Oxford St, Martin, TN 38237-2428 Ph: (731) 587-3422 | Mrs Jennifer L Davis, OTR 104 Oxford St, Martin, TN 38237-2428 Ph: (731) 587-3422 |
Bayleigh Powers, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Kennedy Dr Ste B, Martin, TN 38237 Phone: 731-281-4407 Fax: 731-588-5739 | |
Lori Abbott Manley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Mount Pelia Rd, Martin, TN 38237 Phone: 731-587-4231 Fax: 731-587-0866 | |
Lorrie Ann Frazier, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Hannings Ln, Martin, TN 38237 Phone: 731-587-3193 Fax: 731-588-2732 | |
Mrs. Valerie Anna Gilliland, OTD/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Hannings Ln, Martin, TN 38237 Phone: 731-587-3193 | |
Mrs. Amanda Supeck, OTR/ L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Hannings Ln, Martin, TN 38237 Phone: 731-587-3193 | |
Kaley Elizabeth Campbell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Kennedy Dr Ste B, Martin, TN 38237 Phone: 731-281-4407 Fax: 731-588-5739 |