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Individual

THEODORE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
10049 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-3694
(602) 339-2724
Mailing address
10049 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-3694

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008147
AZ

Other

Enumeration date
02/26/2021
Last updated
02/26/2021
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