Individual
IESHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 828-5600
Mailing address
9810 PRESIDENTIAL DR APT 305, ALLISON PARK, PA 15101-1806
(412) 290-6103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010427
PA
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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