Provider Demographics
NPI:1013212562
Name:GOTTSCHALK, MARGARET (OTR/L, MED)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:GOTTSCHALK
Suffix:
Gender:F
Credentials:OTR/L, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 DANBY WAY
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1162
Mailing Address - Country:US
Mailing Address - Phone:215-750-1382
Mailing Address - Fax:
Practice Address - Street 1:28 DANBY WAY
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1162
Practice Address - Country:US
Practice Address - Phone:215-750-1382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006691L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist