Individual
KATHERINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
74 BRIDGE ST, SUITE 200, NEWTON, MA 02458-1147
(617) 969-4410
Mailing address
262 MAIN ST, APT 1, MEDFORD, MA 02155-5635
(570) 878-3837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11654
MA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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