Individual
COLETTE ALAINE DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1834 FIELDS BLVD, GREENFIELD, IN 46140
(317) 527-5437
(317) 318-1356
Mailing address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(317) 527-5437
(317) 318-1356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004671A
IN
Other
Enumeration date
08/27/2009
Last updated
12/02/2019
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