Provider Demographics
NPI:1760602163
Name:SAPPER, DAVIS (OTR)
Entity Type:Individual
Prefix:
First Name:DAVIS
Middle Name:
Last Name:SAPPER
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 1:21 MARKHAM A
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2739
Mailing Address - Country:US
Mailing Address - Phone:954-336-1717
Mailing Address - Fax:954-527-3087
Practice Address - Street 1:21 MARKHAM A
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2739
Practice Address - Country:US
Practice Address - Phone:954-336-1717
Practice Address - Fax:954-537-3087
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11422225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ078DAMedicare ID - Type Unspecified