Individual
AVRIL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11701 W DORA ST, WICHITA, KS 67209-4243
(407) 961-6363
Mailing address
11701 W DORA ST, WICHITA, KS 67209-4243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800971
KS
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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