=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154532620
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET A BICKLEY OTR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/25/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9000 EXECUTIVE PARK DR SUITE 205A NHC HOMECARE
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37923
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-539-0242
-----------------------------------------------------
Fax | 865-691-8346
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 163 INATA CIRCLE
-----------------------------------------------------
City | LOUDON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37774
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-382-7962
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OT1085
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------