Margaret Marie Frederick

Individual provider Active NPI Occupational Therapy Assistant · Muncy, PA

NPI 1255696902 · NPPES record last updated Jul 9, 2012

Key facts

NPI
1255696902
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP007301 (PA)
Practice address
215 E Water St
Muncy, PA 17756-8828
Phone
(570) 546-8282
NPI assigned
Jul 9, 2012
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

LicenseStateTypeSpecialty
OP007301PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP007301 PA Yes

Addresses

Primary practice location

215 E Water St
Muncy, PA 17756-8828

Mailing address

2779 Muncy Exchange Rd
Muncy, PA 17756
Phone (570) 546-3461

Other providers in Muncy, PA

All providers in Muncy, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.