Individual
KATHLEEN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
425 36TH AVE N, CLINTON, IA 52732-1303
(563) 357-4909
Mailing address
425 36TH AVE N, CLINTON, IA 52732-1303
(563) 357-4909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
112335
IA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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