Individual
MARY KOCH DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
334 VALLEY LN, PERRYSBURG, OH 43551-2766
(419) 301-4814
Mailing address
334 VALLEY LN, PERRYSBURG, OH 43551-2766
(419) 301-4814
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
5201010305
MI
225XP0200X
Pediatric Occupational Therapist
Primary
OT008189
OH
Other
Enumeration date
05/30/2024
Last updated
06/04/2024
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