Mary Grace Davy
Individual provider Active NPI Occupational Therapy Assistant · Bridgewater, VA
NPI 1982111993 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1982111993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131001843 (VA)
- Practice address
- 302 N 2ND St
Bridgewater, VA 22812-1712 - Phone
- (540) 828-2550
- NPI assigned
- Dec 29, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131001843 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131001843 | VA | Yes |
Addresses
Primary practice location
302 N 2ND St
Bridgewater, VA 22812-1712
Mailing address
302 N 2ND St
Bridgewater, VA 22812-1712
Other providers in Bridgewater, VA
- Clover May Cooper
- Ryan Philip Costello
- Caroline Coulter
- D and G DMD PLLC
- Taylor-Rae Dandorth
- Amrita De Zoysa
- Jordan Dent
- Dicksons Drug Store
- Leanne Elizabeth Dolan
- Kenya Earnessa Donovan
All providers in Bridgewater, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.