Individual
LAURA D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 50TH ST NW STE 102, WASHINGTON, DC 20016-4394
(120) 269-5759
Mailing address
711 E CAPITOL ST SE, WASHINGTON, DC 20003-1369
(310) 428-0378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009837
VA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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