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Individual

DAKOTA FLOYD DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD

Contact information

Practice address
14391 SE PRINCETON VILLAGE WAY, HAPPY VALLEY, OR 97015-6263
(503) 433-8668
Mailing address
12606 NE 37TH CT, VANCOUVER, WA 98686-3368

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
385768
OR
225X00000X
Occupational Therapist
OTH-007071
AZ

Other

Enumeration date
01/17/2021
Last updated
08/19/2021
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