Individual
ASHLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1345 N MADISON AVE, ANDERSON, IN 46011-1215
(317) 979-0173
Mailing address
2535 W FUSON RD, MUNCIE, IN 47302-9430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003515A
IN
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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