Individual
MRS. LINDA B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461624
—
IA
01
—
06735
BCBS
IA
01
—
61777600
DEPT OF LABOR
IA
Enumeration date
11/30/2006
Last updated
02/05/2023
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