Healthcare Provider Details

I. General information

NPI: 1811803844
Provider Name (Legal Business Name): MARGARET LYNN EDWARDS MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10160 PLEASANT GROVE SCHOOL RD
ELK GROVE CA
95624-9622
US

IV. Provider business mailing address

8100 BENEVENTO DR
EL DORADO HILLS CA
95762-6217
US

V. Phone/Fax

Practice location:
  • Phone: 916-685-9630
  • Fax:
Mailing address:
  • Phone: 480-242-8397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number13742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: