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Bethany Ann Davis

Occupational Therapy Assistant in Paducah, KY. Individual provider (NPI-1).

NPI number1679080329
StatusActive
Last updated in NPPESJan 3, 2018

Details

NPI
1679080329
Entity type
Individual (NPI-1)
Name
Bethany Ann Davis
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2018
Last updated
Jan 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant164752KYYes

Practice location

4645 Village Square Dr Ste A
Paducah, KY 42001-7448

Phone 270-443-5712

Mailing address

4645 Village Square Dr Ste A
Paducah, KY 42001-7448

Phone 270-443-5712

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