Individual
NICOLE EZELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.OTR/L
Contact information
Practice address
839 WHITERIVER AVE, RIFLE, CO 81650-3515
(970) 665-7600
Mailing address
PO BOX 694, GLENWOOD SPRINGS, CO 81602-0694
(360) 301-2316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0008860
CO
Other
Enumeration date
10/12/2015
Last updated
09/28/2025
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