Individual
DINA DAVOLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA STE 100, LAGUNA HILLS, CA 92653-3648
(949) 916-1654
Mailing address
33262 SEA KNOLL DR, DANA POINT, CA 92629-1137
(949) 412-3753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2966
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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