Most Relevant Information
Provider Data
| NPI Number: | 1003031444 |
| Provider Name: | LORI LYNN DAVIS OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT2353 |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1330 E COOLEY DR
COLTON
CA
923243905
Practice Location Phone/Fax
| Phone: | 9094230750 |
| Fax: |
Provider Mailing Location
1330 E COOLEY DR
COLTON
CA
923243905
Provider Mailing Phone/Fax
| Phone: | 9094230750 |
| Fax: |