Provider Demographics
NPI:1194021816
Name:LOJACONO, MARGAUX (PT)
Entity Type:Individual
Prefix:
First Name:MARGAUX
Middle Name:
Last Name:LOJACONO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6934 WILLIAMS RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3080
Mailing Address - Country:US
Mailing Address - Phone:716-298-5903
Mailing Address - Fax:716-297-4762
Practice Address - Street 1:6934 WILLIAMS RD
Practice Address - Street 2:SUITE 700
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3080
Practice Address - Country:US
Practice Address - Phone:716-298-5903
Practice Address - Fax:716-297-4762
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020921-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist