Jeanine Patricia Davis, COTA

Occupational Therapy Assistant · Gary, IN

Individual Active NPI

NPI number 1164794897

Practice location

2350 Taft St
Gary, IN 46404-3349
Phone
(219) 977-2600

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NPI record

NPI
1164794897
Entity type
Individual (Type 1)
Enumeration date
January 26, 2012
Last updated
January 26, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 32000437A IN

Mailing address

5299 Lyndell Ave
Portage, IN 46368-1847
Phone
(219) 763-6504

About Jeanine Davis

Jeanine Patricia Davis, COTA is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 2350 Taft St, Gary, IN 46404-3349. The NPI number 1164794897 was assigned on January 26, 2012 and the record was last updated on January 26, 2012.

Jeanine Davis lists a license in the registry: #32000437A (IN) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeanine Patricia Davis, COTA?

The NPI number is 1164794897.

What is the phone number of Jeanine Davis?

The phone number listed for the practice location is (219) 977-2600.

Where is Jeanine Davis located?

2350 Taft St, Gary, IN 46404-3349.

What is the taxonomy code for Jeanine Davis?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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