Charlene Davis

NPI #1144689068 in Boise, Idaho

Provider Information

NPI Number: 1144689068
Entity Type: Individual
Name: Charlene Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 19, 2016
Last Updated: Feb 19, 2016

Practice Location

Address: 1720 N WESTGATE DR
Address 2: SUITE D
City: Boise
State: Idaho
ZIP Code: 83704-7164
Phone: (208) 334-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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