Provider Demographics
NPI:1508421520
Name:DAVIS, WILLIAM DENTON (OTR/L)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DENTON
Last Name:DAVIS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1187 CANA RD
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028
Mailing Address - Country:US
Mailing Address - Phone:336-940-4040
Mailing Address - Fax:336-450-4499
Practice Address - Street 1:495 ARBOR HILL RD
Practice Address - Street 2:SUITE EF
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284
Practice Address - Country:US
Practice Address - Phone:336-940-4040
Practice Address - Fax:336-450-4499
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12517225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist