Provider Demographics
NPI:1205031432
Name:DODDS, MARGARETTA (OTRL)
Entity Type:Individual
Prefix:
First Name:MARGARETTA
Middle Name:
Last Name:DODDS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 TODD CIR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2600
Mailing Address - Country:US
Mailing Address - Phone:724-941-5731
Mailing Address - Fax:
Practice Address - Street 1:1030 W STATE ST
Practice Address - Street 2:
Practice Address - City:BADEN
Practice Address - State:PA
Practice Address - Zip Code:15005-1338
Practice Address - Country:US
Practice Address - Phone:724-869-6300
Practice Address - Fax:724-869-6347
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006956L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist