Organization
ANTOINETTE HURRLE DAVISSON
Active
Organization
ANTOINETTE HURRLE DAVISSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE HURRLE DAVISSON OTR/L (OCCUPATIONAL THERAPIST)
(765) 532-1269
Entity
Organization
Contact information
Practice address
434 LITTLETON ST, WEST LAFAYETTE, IN 47906-3013
(765) 532-1269
Mailing address
434 LITTLETON ST, WEST LAFAYETTE, IN 47906-3013
(765) 532-1269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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