Provider Demographics
NPI:1659747343
Name:GARNER, ROSE DAVIS (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:DAVIS
Last Name:GARNER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:ROSE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:3140 CAHABA HEIGHTS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5243
Mailing Address - Country:US
Mailing Address - Phone:205-969-8080
Mailing Address - Fax:205-969-4884
Practice Address - Street 1:3140 CAHABA HEIGHTS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5243
Practice Address - Country:US
Practice Address - Phone:205-969-8080
Practice Address - Fax:205-969-4884
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4033225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist