Individual
MRS. JENNI S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4444
Mailing address
884 N 31ST ST, BOISE, ID 83702-2111
(573) 227-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2014025482
MO
225X00000X
Occupational Therapist
Primary
OT-1800
ID
Other
Enumeration date
09/02/2015
Last updated
02/19/2018
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