Mary Lou Davis IX, OT

NPI #1710184650 in Hernando, Florida

Provider Information

NPI Number: 1710184650
Entity Type: Individual
Name: Mary Lou Davis IX, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jul 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2679 N FOREST RIDGE BLVD
City: Hernando
State: Florida
ZIP Code: 34442-5123
Phone: (352) 746-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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