Individual
SAMANTHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER, MA 02124-5666
(732) 535-0367
Mailing address
2 ROURKE LN, LYNNFIELD, MA 01940-1105
(732) 535-0367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14804
MA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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