Individual
BETHANY ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4645 VILLAGE SQUARE DR STE A, PADUCAH, KY 42001-7448
(270) 443-5712
Mailing address
4645 VILLAGE SQUARE DR STE A, PADUCAH, KY 42001-7448
(270) 443-5712
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
164752
KY
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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