Individual
DIANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
575 RIVERGATE UNIT 108, DURANGO, CO 81301-7490
(970) 247-7711
Mailing address
575 RIVERGATE UNIT 108, DURANGO, CO 81301-7490
(970) 247-7711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0005299
CO
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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