MEDICARE: MRS. MARGARET A TAYLOR OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	101672	MN

General Provider Information

NPI Number	:	1164520128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET A TAYLOR OTR/L

Provider Business Mailing Address
First Line	:	37 HILLTOP LN
Second Line	:
City	:	WACONIA
State	:	MN
Zip	:	55387-9796
Country	:	US
Telephone Number	:	952-442-6470
Fax Number	:

Provider Business Practice Location Address
First Line	:	6824 COUNTY ROAD 6
Second Line	:
City	:	MAPLE PLAIN
State	:	MN
Zip	:	55359-9509
Country	:	US
Telephone Number	:	763-595-7112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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