Doctor Name: | KATHERINE ALICE DAVIDSON |
NPI Number: | 1871704759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRC |
License Number: | C-036043 |
Business Practice Address: | 601 Washington Ave Glen Dale, WV - 260381421 |
Business Phone Number: | 3048457212 |
Business Fax Number: | 3048457213 |
Mailing Address: | 601 Washington Ave, GLEN DALE |
State: | WV |
Postal Code: | 260381421 |
Phone Number: | 3048457212 |
Fax Number: | 3048457213 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | C-036043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |