Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2009 | MA |
NPI | 1104103464 |
---|---|
Provider Name | Elizabeth June Davis |
First Address | Framingham, MA 01701-5224 |
Second Address | Framingham, MA 01701-5224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2011 |
Last Update Date | 14/11/2011 |