Provider Demographics
NPI:1083887061
Name:POINDEXTER, MARGARET THERESA (OTR)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:THERESA
Last Name:POINDEXTER
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 1:4025 VOLENS RD
Mailing Address - Street 2:
Mailing Address - City:NATHALIE
Mailing Address - State:VA
Mailing Address - Zip Code:24577-2517
Mailing Address - Country:US
Mailing Address - Phone:757-576-9286
Mailing Address - Fax:
Practice Address - Street 1:688 KINGSBOURGH SQUARE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-547-9286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004381225X00000X, 282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No282E00000XHospitalsLong Term Care Hospital