Individual
LAUREN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2407 YARMOUTH LN, MOUNT LAUREL, NJ 08054-6262
(856) 905-1616
Mailing address
2407 YARMOUTH LN, MOUNT LAUREL, NJ 08054-6262
(856) 905-1616
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00499000
NJ
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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