Individual
KATHERINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 OAKRIDGE RD, ORMOND BEACH, FL 32174-7905
(800) 330-7711
Mailing address
390 OAKRIDGE RD, ORMOND BEACH, FL 32174-7905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16692
FL
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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