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NPI Code Detail

MEDICARE: DELIA DAVIS

MEDICARE: DELIA 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
1222Q00000XDevelopmental TherapistMA

General Provider Information

NPI Number : 1568317055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELIA DAVIS
Provider Business Mailing Address
First Line : 10 KEY ST
Second Line :
City : MILLIS
State : MA
Zip : 02054-1139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 VANDERBILT AVE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5011
Country : US
Telephone Number : 781-551-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ DELIA DAVIS ” Practice Location

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