Individual
MR. RONALD LARRY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
610 E CHESTER ST, LAFAYETTE, CO 80026-2217
(720) 890-0315
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
19920
—
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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