Healthcare Provider Details

I. General information

NPI: 1902847965
Provider Name (Legal Business Name): MARGARET O. FESH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET OLKOWSKI PT

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 GREENWOOD AVE STE 202
BETHEL CT
06801-2436
US

IV. Provider business mailing address

268 GREENWOOD AVE STE 202
BETHEL CT
06801-2436
US

V. Phone/Fax

Practice location:
  • Phone: 203-917-4792
  • Fax: 203-917-4798
Mailing address:
  • Phone: 203-917-4792
  • Fax: 203-917-4798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006748
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: