Provider Demographics
NPI:1073563771
Name:KRENGEL, MARGARET (OT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:KRENGEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 HEMBREE RD
Mailing Address - Street 2:SUITE 200D
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5720
Mailing Address - Country:US
Mailing Address - Phone:770-772-5540
Mailing Address - Fax:770-772-5541
Practice Address - Street 1:1285 HEMBREE RD
Practice Address - Street 2:SUITE 200D
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5720
Practice Address - Country:US
Practice Address - Phone:770-772-5540
Practice Address - Fax:770-772-5541
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000542225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6544OtherMEDICARE PTAN
GA990037399HMedicaid
GA990037399HMedicaid
GA116779Medicare ID - Type UnspecifiedMEDICARE