Provider Demographics
NPI:1073078036
Name:TIRADO, MARGARET M (OTR)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:TIRADO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 BURDICK RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:NY
Mailing Address - Zip Code:14001-9729
Mailing Address - Country:US
Mailing Address - Phone:716-574-0042
Mailing Address - Fax:
Practice Address - Street 1:10570 BERGTOLD RD
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-2105
Practice Address - Country:US
Practice Address - Phone:716-759-6985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023171-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist