Individual provider · Type 1 NPI

Ann Bacon Davidsen, OTR/L

Specialist · Lake Forest, IL

NPI number 1982832382 Active

Practice location

600 N Bradley Rd
Lake Forest, IL 60045-1020

Mailing address

872 S Milwaukee Ave # 273
Libertyville, IL 60048-3227

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X056.001865 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982832382

Ann Bacon Davidsen, OTR/L's National Provider Identifier is 1982832382, issued on Jun 24, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Forest, IL. The record was last updated on Jun 24, 2009.