Individual
LOLITA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PLUMB AVE, MERIDEN, CT 06450-6541
(203) 537-6781
(855) 878-8051
Mailing address
140 PLUMB AVE, MERIDEN, CT 06450-6541
(203) 537-6781
(855) 878-8051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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