Healthcare Provider Details

I. General information

NPI: 1710890413
Provider Name (Legal Business Name): MARGARET DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 COMMONWEALTH AVE
BOSTON MA
02215-1394
US

IV. Provider business mailing address

915 COMMONWEALTH AVE
BOSTON MA
02215-1394
US

V. Phone/Fax

Practice location:
  • Phone: 617-358-3700
  • Fax: 617-358-3710
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89690
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: