Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005384 | MO |
NPI | 1023163607 |
---|---|
Provider Name | Rebecca Ann Davey |
First Address | Saint Peters, MO 63376-6550 |
Second Address | Saint Peters, MO 63376-6550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |