Individual
KATHERINE ALICE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
601 WASHINGTON AVE, GLEN DALE, WV 26038-1421
(304) 845-7212
(304) 845-7213
Mailing address
601 WASHINGTON AVE, GLEN DALE, WV 26038-1421
(304) 845-7212
(304) 845-7213
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
C-036043
WV
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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