Provider Demographics
NPI:1376280024
Name:BURSCH, MARGARET MALONEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MALONEY
Last Name:BURSCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 744
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-0744
Mailing Address - Country:US
Mailing Address - Phone:907-299-4209
Mailing Address - Fax:
Practice Address - Street 1:950 SE REGATTA DR # 101
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5451
Practice Address - Country:US
Practice Address - Phone:360-679-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61232545225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics