Individual
SABRINA A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15300 LAWRENCE 2147, MOUNT VERNON, MO 65712-8525
(417) 295-7079
Mailing address
15300 LAWRENCE 2147, MOUNT VERNON, MO 65712-8525
(417) 295-7079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005024172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005024172
MO BOARD OF OT
MO
Enumeration date
01/25/2007
Last updated
10/23/2021
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