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1366152902
HALEY SHANNON DAVIS
ROANOKE, VA
NPI
1366152902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002593)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
HALEY SHANNON DAVIS COTA/L
4550 SHENANDOAH AVE NW
ROANOKE, VA 24017-4749
Phone number: 540-982-2860
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Mailing Address
HALEY SHANNON DAVIS COTA/L
5810 CRISPIN ST APT 2H
ROANOKE, VA 24019-6092
Phone number: 817-776-7163
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