Individual
MRS. JOSEPHINE M DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-6010
Mailing address
901 NW SUNBURST CT APT A203, MOSES LAKE, WA 98837-1439
(541) 490-9208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
983540
OR
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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