Individual
MS. LAURA RHODA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10 MESA SEA RD, ARROYO HONDO, NM 87513
(575) 779-6682
Mailing address
PO BOX 1785, EL PRADO, NM 87529-1785
(575) 779-6682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1194
NM
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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