Individual
TAMARA ELAINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
(270) 821-5564
Mailing address
6260 BROWN RD, MADISONVILLE, KY 42431-8930
(270) 821-5644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
134940
KY
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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