Individual
REBECCA NICOLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1200 SUMMIT AVE STE 202, FORT WORTH, TX 76102-4405
(866) 919-3240
Mailing address
4400 GREEN RIDGE LN, ALVARADO, TX 76009-7790
(918) 208-1819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217605
TX
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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