Individual
PAIGE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3576A NU ROC LN, LAONA, WI 54541-9291
(715) 674-4477
Mailing address
3576A NU ROC LN, LAONA, WI 54541-9291
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20208
WI
Other
Enumeration date
03/31/2021
Last updated
06/21/2022
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