Individual
MR. MARK EVANDER MCDAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1 PARK WEST CIR, MIDLOTHIAN, VA 23114-5551
(804) 855-4086
Mailing address
1 PARK WEST CIR, MIDLOTHIAN, VA 23114-5551
(804) 855-4086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2948
KY
Other
Enumeration date
04/29/2008
Last updated
08/07/2009
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