Individual
KATHERINE ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3290
(219) 326-1234
Mailing address
204 S FIELDSTONE DR, LA PORTE, IN 46350-6652
(219) 575-2632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005433A
IN
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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