Individual
AIRICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2901 MONAD RD APT 196, BILLINGS, MT 59102-6144
(904) 214-5247
Mailing address
8150 POINT MEADOWS DR, JACKSONVILLE, FL 32256-3649
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA12334
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTP-OTA-LIC-5403
MT
Other
Enumeration date
12/11/2017
Last updated
04/18/2018
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