Provider Demographics
NPI:1033649991
Name:ABBOTT FOWLER, MARGARET CAROL (COTA/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CAROL
Last Name:ABBOTT FOWLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CAROL
Other - Last Name:ABBOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1404 ARMSTRONG AVE
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-1712
Mailing Address - Country:US
Mailing Address - Phone:717-357-0518
Mailing Address - Fax:
Practice Address - Street 1:83 CROSSROADS LANE
Practice Address - Street 2:AUGUSTA NURSING AND REHAB CENTER
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939
Practice Address - Country:US
Practice Address - Phone:540-885-8364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131001579224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant