Individual
NANCY JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-0286
Mailing address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-0286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00598
IA
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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