Provider Demographics
NPI:1538263280
Name:WEBSTER, DAVID (OTR/L SCD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:OTR/L SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CERINA RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2224
Mailing Address - Country:US
Mailing Address - Phone:857-364-4949
Mailing Address - Fax:
Practice Address - Street 1:6 CERINA RD
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2224
Practice Address - Country:US
Practice Address - Phone:857-364-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2181225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist