Individual
DESIREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2090 4TH ST, BAKER CITY, OR 97814-3318
(541) 524-2260
Mailing address
1521 WASHINGTON AVE, BAKER CITY, OR 97814-2814
(541) 403-2294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
481077
OR
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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