Individual
DAVID DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 WEST ST, HAYWARD, CA 94545-1932
(510) 783-4811
Mailing address
PO BOX 20505, CASTRO VALLEY, CA 94546-8505
(510) 427-6965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1410
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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