Individual
MR. SHAIN THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
8135 PAINTER AVE, SUITE 200, WHITTIER, CA 90602-3158
(562) 698-6600
Mailing address
9635 ADOREE ST, DOWNEY, CA 90242-4926
(562) 242-6830
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12993
CA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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