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Individual

MRS. TRACEY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTRL

Contact information

Practice address
9712 VALENTINE RD SW, STOUTSVILLE, OH 43154
(740) 675-2030
Mailing address
9712 VALENTINE RD SW, STOUTSVILLE, OH 43154
(740) 675-2030

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003504
GA

Other

Enumeration date
03/26/2007
Last updated
03/17/2018
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