Individual
MELISSA DAWN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
15620 EDGEWOOD DR STE 240, BAXTER, MN 56401-6984
(701) 780-5000
Mailing address
309 WASHINGTON AVE, ORTONVILLE, MN 56278-1357
(320) 839-4090
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1110
ND
Other
Enumeration date
10/09/2009
Last updated
03/17/2018
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