Individual
MS. KRISTIN K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR L
Contact information
Practice address
600 EDEN ROAD, BUILDING I, LANCSATER, PA 17601-4205
(717) 299-4829
(717) 295-3453
Mailing address
654 GOLDEN EAGLE WAY, LANCASTER, PA 17601-1198
(717) 285-9963
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC006310L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019409590002
TYPE17
PA
Enumeration date
03/20/2007
Last updated
07/08/2007
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