Provider Demographics
NPI:1992996870
Name:DAVIS, PATRICIA S (OTR/L, CHT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:S
Last Name:DAVIS
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3073
Mailing Address - Country:US
Mailing Address - Phone:954-351-0511
Mailing Address - Fax:954-351-0411
Practice Address - Street 1:2000 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3073
Practice Address - Country:US
Practice Address - Phone:954-351-0511
Practice Address - Fax:954-351-0411
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2015-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT0000357225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand