Healthcare Provider Details

I. General information

NPI: 1942572326
Provider Name (Legal Business Name): MARGARET M OKULEY OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2012
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W MARKET ST
GEORGETOWN DE
19947-2317
US

IV. Provider business mailing address

301 W MARKET ST
GEORGETOWN DE
19947-2317
US

V. Phone/Fax

Practice location:
  • Phone: 302-856-4783
  • Fax: 302-856-4784
Mailing address:
  • Phone: 302-856-4783
  • Fax: 302-856-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0001279
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: