Provider Demographics
NPI:1871708065
Name:DAVIS-WEEKS, REBECCA G (OTR)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:G
Last Name:DAVIS-WEEKS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WEST ST
Mailing Address - Street 2:
Mailing Address - City:PETERSHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01366-9600
Mailing Address - Country:US
Mailing Address - Phone:978-301-1235
Mailing Address - Fax:
Practice Address - Street 1:CLUB STAFFING
Practice Address - Street 2:5901 BROKEN SOUND PARKWAY, SUITE 500
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487
Practice Address - Country:US
Practice Address - Phone:800-875-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5573225X00000X
NH1877225X00000X
NY012080-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist