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Individual
MICHAEL DAVIS
Active
Individual
MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOT
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
BOTOCT00222802
KY
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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