NPI | 1659660405 |
---|---|
Other Name | ANITA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2010021565) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02702) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2011-04-01 |