Individual
KAREN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3032 BROADWAY ST, QUINCY, IL 62301-3708
(217) 222-6800
(217) 222-0037
Mailing address
3032 BROADWAY ST, QUINCY, IL 62301-3708
(217) 222-6800
(217) 222-0037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002292
IL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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