Individual
ABBY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3226 SHAWNEE TRL, PINCKNEY, MI 48169-9311
(248) 514-5166
Mailing address
3226 SHAWNEE TRL, PINCKNEY, MI 48169-9311
(248) 514-5166
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0006480
CO
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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