Individual
MR. SEMAJ BELDON BOYD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
222 E 5TH AVE, SPOKANE, WA 99202-1394
(509) 344-5770
Mailing address
28302 N MILL LN APT A, DEER PARK, WA 99006-5123
(951) 662-3822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61338077
WA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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