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Individual

ANNA ELIZABETH DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1050 DELAWARE AVENUE, MARION, OH 43302
(740) 383-8022
(740) 383-7942
Mailing address
PO BOX 1827, MARION, OH 43301-1827
(740) 383-8022
(740) 383-7942

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005959
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000266500
ANTHEM
OH
01
29900565002
MEDICAL MUTUAL
01
P00009954
TRAVELERS MEDICARE
Enumeration date
07/31/2006
Last updated
07/08/2007
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