Individual
SHEILA DENISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2921 W 61ST PL APT 2G, MERRILLVILLE, IN 46410-2260
(219) 613-2362
Mailing address
303 W 80TH PL # 11484, MERRILLVILLE, IN 46410-5433
(219) 613-2362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004935
IL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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