Individual
SACI JEAN DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 VZ COUNTY ROAD 4605, BEN WHEELER, TX 75754-3465
(903) 368-0485
Mailing address
635 VZ COUNTY ROAD 4605, BEN WHEELER, TX 75754-3465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
214647
TX
224Z00000X
Occupational Therapy Assistant
386327
OR
224Z00000X
Occupational Therapy Assistant
4207
CA
224Z00000X
Occupational Therapy Assistant
Primary
OC60864021
WA
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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