Individual
ALYSSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 GROVE ST, BALDWIN CITY, KS 66006-9204
(785) 594-2909
Mailing address
204 N EISENHOWER DR APT M3, LAWRENCE, KS 66049-5147
(620) 481-3168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-05379
KS
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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