Provider Demographics
NPI:1003114364
Name:MUNROE, MARGARET ANN (COTA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:MUNROE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 SOVEREIGN DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-2148
Mailing Address - Country:US
Mailing Address - Phone:903-736-6648
Mailing Address - Fax:
Practice Address - Street 1:9 ARBETTER DR
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-2705
Practice Address - Country:US
Practice Address - Phone:508-877-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209048224Z00000X
OR1057522224Z00000X
CT1136224Z00000X
MA3318224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant