Individual
SHAWNDA RACHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7180 NW HIGHWAY B, APPLETON CITY, MO 64724-3159
(660) 492-0725
Mailing address
8840 NW HWY B, ROCKVILLE, MO 64780
(660) 492-0725
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2991
MO
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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