MEDICARE: MARGARET MOVIEL OTR

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

General Provider Information

NPI Number	:	1316153885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET MOVIEL OTR

Provider Business Mailing Address
First Line	:	4888 DEMING RD
Second Line	:
City	:	DEMING
State	:	WA
Zip	:	98244
Country	:	US
Telephone Number	:	907-782-6314
Fax Number	:

Provider Business Practice Location Address
First Line	:	4888 DEMING RD
Second Line	:
City	:	DEMING
State	:	WA
Zip	:	98244
Country	:	US
Telephone Number	:	907-782-6314
Fax Number	:

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	11/03/2014

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