Individual
SUZANNE MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 588-7692
(207) 588-7693
Mailing address
15 HASSON ST, FARMINGDALE, ME 04344-1613
(207) 588-7692
(207) 588-7693
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
OA3184
ME
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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