Provider Demographics
NPI:1386690063
Name:DAVIDSON, JANICE S (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:S
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MISS
Other - First Name:JANICE
Other - Middle Name:S
Other - Last Name:SHIRAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17681 CINQUEZ PARK RD W
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3998
Mailing Address - Country:US
Mailing Address - Phone:561-427-7200
Mailing Address - Fax:561-427-7203
Practice Address - Street 1:17681 CINQUEZ PARK RD W
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3998
Practice Address - Country:US
Practice Address - Phone:561-427-7200
Practice Address - Fax:561-427-7203
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT272174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist