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NPI Code Detail

MEDICARE: DAVID DAVIS

MEDICARE: DAVID 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 Therapist1410CA

General Provider Information

NPI Number : 1033508130
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID DAVIS
Provider Business Mailing Address
First Line : PO BOX 20505
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-8505
Country : US
Telephone Number : 510-427-6965
Fax Number :
Provider Business Practice Location Address
First Line : 1805 WEST ST
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1932
Country : US
Telephone Number : 510-783-4811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2015
Last Update Date : 01/13/2015

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Directions to “ DAVID DAVIS ” Practice Location

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