Individual
KIMBERLY ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1301 E FERN AVE STE D1, MCALLEN, TX 78501-1497
(956) 683-9339
(956) 683-9329
Mailing address
1301 E FERN AVE STE D1, MCALLEN, TX 78501-1497
(956) 683-9339
(956) 683-9329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209160
TX
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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