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Individual

TRIANNA CORNELIA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 489-8100
Mailing address
6506 AMERICA BLVD APT 603, HYATTSVILLE, MD 20782-2097

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
09584
MD
225X00000X
Occupational Therapist
Primary
122968
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09584
MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
08/18/2021
Last updated
05/13/2026
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