Individual
RHONDA SUSAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6748 HILLCROFT DR, BOSTON, NY 14025-9645
(716) 462-3412
Mailing address
6748 HILLCROFT DR, BOSTON, NY 14025-9645
(716) 462-3412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001451-1
NY
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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