Individual
MRS. AMBER DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1519 S BOSTON AVE, TULSA, OK 74119-4015
(918) 712-7805
Mailing address
1519 S BOSTON AVE, TULSA, OK 74119-4015
(918) 712-7805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1166
OK
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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