Individual
KATHRYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 SCHLEY ST, MANSFIELD, LA 71052-3820
(318) 871-0402
Mailing address
1141 CHARLIE JONES RD, GRAND CANE, LA 71032-5643
(318) 471-0741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209914
TX
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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