MEDICARE: MARGARET JENNINGS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	020470	NY

General Provider Information

NPI Number	:	1417301979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET JENNINGS OTR/L

Provider Business Mailing Address
First Line	:	500 E 77TH ST
Second Line	:	APT 1121
City	:	NEW YORK
State	:	NY
Zip	:	10162-0025
Country	:	US
Telephone Number	:	914-584-5323
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E 77TH ST
Second Line	:	APT 1121
City	:	NEW YORK
State	:	NY
Zip	:	10162-0025
Country	:	US
Telephone Number	:	914-584-5323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2016
Last Update Date	:	04/20/2016

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