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Contact Information

NICOLE L DAVIS, COTA/L
128 N HARDESTY AVE
KANSAS CITY, MO64123-1404
 Phone: 816-241-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for NICOLE L DAVIS · (Female)

NPI # 1508423385
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 05/28/2019
Last updated 05/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018029156
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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