Individual
DIANNE R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3219 W RALPH ROGERS RD, SIOUX FALLS, SD 57108-5043
(605) 360-1714
Mailing address
3219 W RALPH ROGERS RD, SIOUX FALLS, SD 57108-5043
(605) 360-1714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0356
SD
225X00000X
Occupational Therapist
103118
MN
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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