Individual
MIRANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 871-6123
Mailing address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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