Individual
KATIE RENEE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2941 N DAVIS ST, LAVACA, AR 72941-4517
(479) 806-2879
(479) 755-9960
Mailing address
2941 N DAVIS ST, LAVACA, AR 72941-4517
(479) 806-2879
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1225
AR
Other
Enumeration date
11/13/2017
Last updated
11/12/2025
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