Provider Demographics
NPI:1265843684
Name:MAGOVICH, MARGARET (PT, DPT, MBA, CWS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:MAGOVICH
Suffix:
Gender:F
Credentials:PT, DPT, MBA, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17058 RACCOON TRL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6281
Mailing Address - Country:US
Mailing Address - Phone:216-445-7064
Mailing Address - Fax:216-445-7283
Practice Address - Street 1:17058 RACCOON TRL
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6281
Practice Address - Country:US
Practice Address - Phone:216-445-7064
Practice Address - Fax:216-445-7283
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011344225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist