Individual
MRS. STEPHANIE ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1448 E CENTER ST STE G, POCATELLO, ID 83201-4132
(208) 547-7145
Mailing address
1448 E CENTER ST STE G, POCATELLO, ID 83201-4132
(208) 547-7145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2061678
ID
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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