IAN DAVISSON

PHILADELPHIA, PA
NPI1114446689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC014928)
Enumeration Date2017-09-15
Last Update Date2017-09-15
Business Address
IAN DAVISSON
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 678-378-8328
Mailing Address
IAN DAVISSON
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number:
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