Individual
KAYLA ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
103 W 7TH ST, STOVER, MO 65078-0972
(573) 378-0521
Mailing address
103 W 7TH ST, STOVER, MO 65078-0972
(573) 378-0521
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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