Individual
ANDREA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 S OAKWOOD AVE STE 100, GENESEO, IL 61254-1990
(309) 944-6447
(309) 944-6448
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006101
IL
Other
Enumeration date
06/28/2012
Last updated
11/29/2021
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