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Individual

SUMMER DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2010 SW H K DODGEN LOOP, UNIT 201, TEMPLE, TX 76504-7062
(254) 774-9991
Mailing address
305 NE LOOP 280, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210158
TX
224Z00000X
Occupational Therapy Assistant
811
OK

Other

Enumeration date
04/18/2014
Last updated
04/21/2014
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