Individual
LAURA BETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
7475 MORGAN RD, BLDG 9 APT 5, LIVERPOOL, NY 13090-3921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008995-1
NY
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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