Individual
TINA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
839 PEARL RD, BRUNSWICK, OH 44212-2559
(330) 225-4182
(866) 851-8273
Mailing address
4162 ROANOKE DR, BRUNSWICK, OH 44212-5318
(330) 220-2644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2395
OH
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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