Individual
MRS. MONIQUE RENEE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1117 TOURELLO LN, LAS VEGAS, NV 89144-1206
(702) 242-5986
Mailing address
1117 TOURELLO LN, LAS VEGAS, NV 89144-1206
(702) 242-5986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10-7037
NV
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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