| NPI | 1235488677 |
|---|---|
| Former Name | REBECCA SUE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00001967) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 5474) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |