Individual
ROXANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
RR 1 BOX 500, MARLINTON, WV 24954-9754
(304) 799-7375
Mailing address
PO BOX 104, SLATYFORK, WV 26291-0104
(304) 572-4378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1496
WV
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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