Individual
ALEXANDRA NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18115 N US HIGHWAY 41, LUTZ, FL 33549-6474
(813) 389-5301
Mailing address
35225 SAINT JOE RD, DADE CITY, FL 33525-8162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20662
FL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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