Individual
MRS. LISA EILEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L
Contact information
Practice address
2993 VAN VALIN DR, ROCK HILL, SC 29732-8079
(803) 328-5244
Mailing address
2993 VAN VALIN DR, ROCK HILL, SC 29732-8079
(803) 328-5244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3123
SC
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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