Individual
LARONDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-2650
(817) 292-8787
(817) 789-6849
Mailing address
2481 MOCINE ELM, SCHERTZ, TX 78154-2650
(210) 310-8729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
297972
TX
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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