Healthcare Provider Details

I. General information

NPI: 1538361043
Provider Name (Legal Business Name): MARGARET MARY DOWNEY OTR L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 COUNTY ROAD F E
WHITE BEAR LAKE MN
55110-3935
US

IV. Provider business mailing address

617 W CEDAR ST
RIVER FALLS WI
54022-2017
US

V. Phone/Fax

Practice location:
  • Phone: 651-415-5500
  • Fax: 651-415-5510
Mailing address:
  • Phone: 612-385-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1237
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: