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Individual

ALEXANDRIA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
17287 W 32ND ST S, SAND SPRINGS, OK 74063-4774
(918) 280-9320
Mailing address
201 W CANTON ST, BROKEN ARROW, OK 74012-7150

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012
OK

Other

Enumeration date
09/01/2025
Last updated
09/01/2025
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