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Individual

PROF. JANIS LAURSEN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L PHD

Contact information

Practice address
27136 PASEO ESPADA, SAN JUAN CAPISTRANO, CA 92675-2728
(949) 429-3220
Mailing address
1570 VIA CAPRI APT 5, LAGUNA BEACH, CA 92651-1362
(913) 449-7757

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10768
CA

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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