Individual
AMBER LISETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 S. 9TH STREET, KINGFISHER, OK 73750
(405) 375-7945
Mailing address
18025 CERRADO CIR, EDMOND, OK 73012-7641
(405) 833-3272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1252
OK
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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