Individual
LAUREN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21615 HAWTHORNE BLVD STE 200, TORRANCE, CA 90503-6670
(310) 371-8555
Mailing address
4620 S SLAUSON AVE APT 203, CULVER CITY, CA 90230-5181
(562) 879-8781
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT15614
CA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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