Individual
JAMIE ROSE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013124
IL
225X00000X
Occupational Therapist
2013001966
MO
Other
Enumeration date
05/19/2015
Last updated
08/12/2026
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