| NPI | 1841845609 |
|---|---|
| Former Name | STEPHANIE M DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010053) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 240481) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |