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Contact Information

TERESA A DAVIDSON, OTR L
1983 S FR 69
REPUBLIC, MO65738
 Phone: 417-619-1424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TERESA A DAVIDSON · (Female)

NPI # 1437284023
Status Active
Credentials OTR L
Entity Individual
Enumeration date 02/22/2007
Last updated 05/14/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2003020265
  • MO Medicaid 478617020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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