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Individual

LAUREL B DAVIS

Active
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Individual

LAUREL B DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19133
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402182
NBCOT
—
01
—
OT19133
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
09/21/2018
Last updated
09/21/2018
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