Individual
MARSHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
213 JEMOND CT, ORLANDO, FL 32835-5353
(407) 600-4415
Mailing address
213 JEMOND CT, ORLANDO, FL 32835-5353
(407) 600-4415
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
13484
FL
252Y00000X
Early Intervention Provider Agency
Primary
212628
TX
Other
Enumeration date
05/10/2014
Last updated
05/10/2014
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