| NPI | 1861210262 |
|---|---|
| Former Name | RACHEL LAUREN DAVENPORT |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM OT-2023-0267) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC 5403) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-08 |