Individual
MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 ALPER CENTER DR UNIT 6109, HENDERSON, NV 89052-1541
(843) 531-7920
Mailing address
915 ALPER CENTER DR UNIT 6109, HENDERSON, NV 89052-1541
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
01/29/2022
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