Individual
MRS. LINDA B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
234 WEST ST S, SOUTHVIEW PLAZA SUITE #4, GRINNELL, IA 50112-8160
(641) 236-4506
(641) 236-4316
Mailing address
893 310TH AVE, TAMA, IA 52339-8504
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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