Individual
ALLISON NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
85 VINCENT DR # C, MT PLEASANT, SC 29464-4066
(843) 425-7963
Mailing address
310 SEAPORT LN UNIT 2316, MT PLEASANT, SC 29464-3780
(937) 479-3930
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.5771
SC
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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