Individual
DAVIE JUN NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10121 SE SUNNYSIDE RD STE 300, CLACKAMAS, OR 97015-5713
(877) 407-3422
(877) 407-4329
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
239952
OR
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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