Individual
MRS. CHARITY SUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3476 W 4600 S, WEST HAVEN, UT 84401-9203
(801) 689-0200
(801) 689-0201
Mailing address
PO BOX 66, HOOPER, UT 84315-0066
(801) 689-0200
(801) 689-0201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4770445-4201
UT
Other
Enumeration date
07/03/2006
Last updated
12/27/2022
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