Individual
DAVAH LAWSON HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11832 ROCK LANDING DR STE 105, NEWPORT NEWS, VA 23606-4261
(757) 455-5000
Mailing address
200 RIDGE RD, POQUOSON, VA 23662-1830
(910) 619-8082
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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