Individual
CAROL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 1ST DR NW, AUSTIN, MN 55912-3095
(763) 689-5385
Mailing address
87892 225TH ST, OAKLAND, MN 56007-7682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6403339
MEDICA
MN
01
—
8G688DA
BLUE CROSS BLUE SHIELD
MN
01
—
HP45725
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
07/09/2007
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