Individual
DR. KIMBERLY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MS, OTR/L
Contact information
Practice address
335 STILLWATER AVE, BANGOR, ME 04401-3944
(207) 947-1111
Mailing address
200 JARVIS GORE DR, EDDINGTON, ME 04428-3408
(207) 852-5451
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT483
ME
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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