Individual
DAVID DOVALINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
714 EVERGREEN ST, FRESNO, TX 77545-7668
(512) 351-5628
Mailing address
714 EVERGREEN ST, FRESNO, TX 77545-7668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1049716
OR
224Z00000X
Occupational Therapy Assistant
Primary
2613
NM
Other
Enumeration date
05/08/2010
Last updated
05/08/2010
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