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NPI Code Detail

MEDICARE: REBECCA MARIE DAVIS

MEDICARE:   REBECCA MARIE DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1356841332
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MARIE DAVIS
Provider Business Mailing Address
First Line : 251 JOHNSTON ST SE STE 200
Second Line :
City : DECATUR
State : AL
Zip : 35601-2515
Country : US
Telephone Number : 256-350-1764
Fax Number :
Provider Business Practice Location Address
First Line : 251 JOHNSTON ST SE STE 200
Second Line :
City : DECATUR
State : AL
Zip : 35601-2515
Country : US
Telephone Number : 125-635-0176
Fax Number : 256-350-1764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 02/16/2018

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Directions to “ REBECCA MARIE DAVIS ” Practice Location

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