Individual
MRS. LAURA ROSE DAVIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
7 S ALLIANCE DR, SUITE 102 A, GOOSE CREEK, SC 29445-7269
(843) 569-2303
(843) 569-2304
Mailing address
7 S ALLIANCE DR, SUITE 102 A, GOOSE CREEK, SC 29445-7269
(843) 569-2303
(843) 569-2304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4031
SC
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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