Individual
LOUISE MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 COACHE ST, THREE RIVERS, MA 01080-1105
(413) 455-4854
Mailing address
12 COACHE ST, THREE RIVERS, MA 01080-1105
(413) 455-4854
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2835
MA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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