Individual
KRISTEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
321 OLD PLACE LN, MADISONVILLE, LA 70447-3118
(985) 869-5121
Mailing address
321 OLD PLACE LN, MADISONVILLE, LA 70447-3118
(985) 869-5121
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005356
GA
Other
Enumeration date
01/03/2012
Last updated
07/20/2016
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