Individual
MICHELLE MARIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
704 MIDDLE GROUND BLVD, SUITE D, NEWPORT NEWS, VA 23606-4526
(757) 595-4880
Mailing address
704 MIDDLE GROUND BLVD, SUITE D, NEWPORT NEWS, VA 23606-4526
(757) 595-4880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000246
VA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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