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Individual

LATRELL DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
136 S LUDLOW ST, DAYTON, OH 45402-1813
(513) 464-4546
Mailing address
1041 TUDOR RD, DAYTON, OH 45419-3722
(513) 464-4546

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
OT013637
OH

Other

Enumeration date
03/17/2023
Last updated
04/30/2026
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