Individual
MARIAH S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2526 N MAIN ST, DANVILLE, VA 24540-2333
(434) 836-9510
Mailing address
1685 RINGGOLD RD, RINGGOLD, VA 24586-3923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131002212
VA
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
06/22/2021
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