Individual ProviderLisa DavisonOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1513 Westbury Dr, Shreveport, LA 71105-5031(318) 469-1955PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Davison does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1689988693Provider TypeIndividualFull NameDavison, LisaCredentialLOTRGenderFemaleSole ProprietorYesEnumeration Date8/2/2010Last Updated8/2/2010Contact InformationPractice LocationPractice Address1513 Westbury Dr, Shreveport, LA 71105-5031Phone(318) 469-1955FaxUnlisted FaxMailing LocationMailing Address1513 Westbury Dr, Shreveport, LA 71105-5031Phone(318) 469-1955FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseZ10765Louisiana