Most Relevant Information
Provider Data
| NPI Number: | 1003291626 |
| Provider Name: | KAREN MARISA DAVIDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: | 92813207 |
Most Important Dates
| Enumeration Date: | 07/24/2015 |
| Last Updated: | 07/24/2015 |
Provider Practice Location
345 GREENWOOD ST STE A
SUITE B
WORCESTER
MA
016071767
Practice Location Phone/Fax
| Phone: | 5083630200 |
| Fax: |
Provider Mailing Location
17 PARIS AVE
WORCESTER
MA
016031659
Provider Mailing Phone/Fax
| Phone: | 2033764982 |
| Fax: |