Individual
DENISE RUTH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4600 TAFT BLVD, WICHITA FALLS, TX 76308-4935
(940) 691-1710
Mailing address
204 WISHBONE LN, HASLET, TX 76052-2094
(832) 274-0413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210665
TX
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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