Individual
MS. JENNIFER LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
125 DALMAGRO RD, LOT 12, BUTLER, PA 16002-9307
(724) 664-8603
Mailing address
125 DALMAGRO ROAD, LOT 12, BUTLER, PA 16002
(724) 664-8603
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001775L
PA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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