Individual
TRICIA SHEREEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6311 NW HERMES CT, PORT ST LUCIE, FL 34986-3881
(954) 296-8179
Mailing address
6311 NW HERMES CT, PORT ST LUCIE, FL 34986-3881
(954) 296-8179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12142
FL
Other
Enumeration date
10/01/2012
Last updated
02/26/2020
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