Provider Demographics
NPI:1376964189
Name:GIFFIN, MARGARET A (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:GIFFIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:MOFFETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1317 NE 21ST PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1712
Mailing Address - Country:US
Mailing Address - Phone:239-986-9428
Mailing Address - Fax:
Practice Address - Street 1:4011 GARDINER POINT DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1988
Practice Address - Country:US
Practice Address - Phone:239-986-9428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-20
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT18772225X00000X
KYR5411225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist