Individual
MRS. MICHELE D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
205 ARMSTRONG ST, CENTREVILLE, MD 21617-2125
(410) 758-2323
Mailing address
202 S BROAD ST, MIDDLETOWN, DE 19709-1440
(408) 921-2840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02261
MD
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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